JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
'25 Mosaic Pre Orientation Registration
We need your information to prepare for your arrival! If you have questions please contact Monique Gore at
mgore@gettysburg.edu
or Amanda Shull at
ashull@gettysburg.edu
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Class Year
*
First-year
Sophomore
First Name
*
Your answer
Last Name
*
Your answer
Email (please indicate an email address you'll have access to all summer)
*
Your answer
Self identified race or ethnicity (click all that apply)
Hispanic, Latino(x) or Spanish origin
Black or African American
Asian or South Asian
White
American Indian or Alaskan Native
Middle Eastern or North African
Native Hawaiian or Other Pacific Islander
Some other race , ethnicity or origin
Other:
My Gender Identity is ....
Example: Male, Female, Trans-male, Trans-female, non- binary or prefer not to answer, etc
Your answer
Preferred Pronouns
She, Her, Her's ; They, Them, Theirs ; He, Him, His: Ze, Zem
Your answer
Do you identify as a member of the LGBTQIA+ (lesbian, gay, bisexual, transgender, questioning, queer, intersex, asexual, ally ) community?
Yes
No
Clear selection
Are you apart of one of the programs below?
STEM Scholar
Lincoln Scholar
Athlete
Unsure
Clear selection
T-Shirt Size
*
S
M
L
XL
XXL
Other:
Are you a First-Generation Student (parent or guardian hasn't received a baccalaureate degree)?
*
Yes
No
Maybe
Other:
If you are First-Generation would you be interested in a peer-mentor?
Yes
No
I'd like to receive more information
Clear selection
Next
Page 1 of 3
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
