Fill out this form if it is your first time requesting services from the ASC. You only need to complete this form one time. If you are already in contact with the ASC, please use our email address, [email protected], or call 978-867-4743.
1. Full Name (First and Last)
2. Gordon Student ID#
3. Date of Birth (month/date/year)
4. Email Address
5. Cell phone number
6. Class Year at Gordon
7. Do you live on campus?
8. If you live on campus, which residence hall do you live in?
9. If you live off campus, what town do you live in?
10. What is your home state or country?
11. Would you like to disclose a disability?
12. What are your reasons for contacting the ASC? Please check all that apply.
13. What's the best way to reach you, email or phone?
> Academic Success Center
> ASC Intake Form
Gordon College, 255 Grapevine Road, Wenham, MA 01984
978 927 2300 | [email protected] | [email protected]
Gordon College is New England’s top Christian college, located on the North Shore of Boston in Wenham, MA.
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