Toll Free 800.889.3282

Application for Admission


Thank you for your interest in Goodwin College.  By submitting this online application you are one step closer to realizing your dream!

Information concerning birth date & gender
is being collected for reporting purposes only
and will not be used in the selection process for admission.

* = required field


How did you hear about the Goodwin College website? *

Personal Information

First Name: *
Last Name: *
Middle Name:
Gender:
Address: *
City: *
State: *
Zip Code: *
Date of Birth:  /   / 
Home Phone: *
Alternate Phone:
Email: *
Best time to contact:

Program Desired:
Note: You cannot select a program from both of the drop-down lists.
Associate Degree In:
Desired Start Date:
Day or Evening:

Educational Background
Do you have a High School Diploma? *
Year of actual or anticipated graduation (if applicable):
High School Attended:
Address of High School:
City of High School:
Zip code of High School:
Do you have a GED certificate?
Year GED was earned or is anticipated (if applicable):
If not in Connecticut, give state or country where GED was earned:

Additional Info:
Admission Status:
Employment Information:
Name of employer (if applicable):

Please list two friends or family members who may be interested in attending Goodwin College with you.

Reference #1
Name:
Address:
City:
State:
Zip code:
Phone:
Relationship:
Email:

Reference #2
Name:
Address:
City:
State:
Zip code:
Phone:
Relationship:
Email:






One Riverside Drive • East Hartford, Connecticut 06118
Tel 860.528.4111 • Toll Free 800.889.3282

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