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CAMPUSGO College Application Advisory Program
Student Application
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* Indicates required question
Student Information
Name
*
Your answer
Email
*
Your answer
Address
*
Your answer
Phone number
*
Your answer
Age
*
Your answer
Gender
*
Choose
Male
Female
Prefer not to say
School
*
Your answer
Grade
*
Freshman
Sophomore
Junior
Senior
Other:
Grade Point Average
*
Choose
below 2.0
2.0-2.5
2.5-3.0
3.0-3.5
3.5 or above
Parent/Guardian Information
Parent/ Guardian Name
*
Your answer
Parent/ Guardian Phone Number
*
Your answer
Parent/Guardian Email
*
Your answer
Medical Information
Please list any medical conditions
*
Your answer
Please list any medications the student takes
*
Your answer
Please list all allergies
*
Your answer
Acknowlegement Form
I grant the following permission to CampusGo concering my child:
*
Permission to transport my child to and from CampusGo activities
Permission to seek medical attetion for my child in the case of an emergancy
Permission for my child's written statements and photos to be used as part of promotional campaigns for CampusGo
Required
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