This form is to request information. If you're are ready to apply, go to
cgcc.edu/apply
instead!
Request Information About CGCC
Term you will start at CGCC
*
Please Select
Winter 2026 (January-March)
Spring 2026 (April-June)
Summer 2026 (June-September)
Fall 2026 (September-December)
Program you're interested in
*
Please Select
Associate of Arts Oregon Transfer
Associate of General Studies
Associate of Science
Accounting
Accounting/Bookkeeping
Accounting Clerk
Administrative Assistant
Advanced Manufacturing & Fabrication
Advanced Manufacturing Technology
Aviation Maintenance Technology
Business
Construction Technology
Early Childhood Education
Electro-Mechanical Technology
Emergency Medical Technician
Entrepreneurship
Entrepreneurship/Small Business Management
Medical Assisting
Nursing
Paramedic
Undeclared
Web Design Assistant
Web Development Assistant
Personal Information
Name
*
Legal First Name
Legal Last Name
Preferred Name
*
FIRST name you prefer to be called at CGCC - either your legal first name or a nickname/chosen name.
Preferred Pronoun(s) - select all that apply
He/him
She/her
They/them
Other
Gender
Please Select
Male
Female
Non-binary
Decline to answer
Preferred Language
English
Español
Other
Birthdate
*
-
Month
-
Day
Year
Month - Day - Year
Phone Number
*
E-mail
*
example@example.com
I give CGCC permission to text me.
*
Yes
No
Has someone in your close family attended college?
No, I am the first in my family to attend
Yes, a parent/guardian attended college
Yes, a sibling attended college, but not our parent/guardian
Has someone in your close family attended college?
No, I am the first in my family to attend college
A parent/guardian
A sibling
Other
Military Status and Dependents
Military Status
*
Please Select
No Military Service
Active Duty
Reserves
Veteran
Are you the dependent child or spouse of an active duty service member?
*
Yes
No
Are you the dependent child or spouse of a veteran of the armed forces?
*
Yes
No
High School and College
Are you currently enrolled in high school or homeschool?
Yes
No
High School Name
Graduation Year
Please Select
2024
2025
2026
2027
What type of high school or homeschool diploma have you earned?
Please Select
High school diploma
Home school diploma
GED or other equivalency diploma
I have not earned a high school diploma
What college(s) have you attended?
Services and Interests
What activities or services are you interested in learning more about? (select all that apply)
On-campus housing
Athletics
Financial Aid
Resources for students/families in need
Accommodations for a documented disability
Tutoring
Clubs & student organizations
CAMP (College Assistance Migrant Program - for migrant workers and their families)
Assistance for college students who are also parents
Other
What sports are you interested in? (select all that apply)
Men's Cross Country
Women's Cross Country
Men's Soccer
Women's Soccer
Other sports (write in as many as you are interested in)
What types of financial aid are you interested in? (select all that apply)
Grants (does not have to be repaid)
Scholarships (does not have to be repaid)
Work Study (work on campus for pay)
Loans (must be repaid)
Which clubs/organizations are you interested in?
Associated Student Government (ASG)
Creative Writing Club
Disability Arts & Action Network (DAAN)
EQUAL: Equity through United Action League
Gaming Club
Gender & Sexuality Alliance (GSA)
Other activites (suggest any type of club you would be interested in forming/joining)
Which of these applies to you? (select all that apply)
I am a migrant worker
Someone in my household is a migrant worker
How did you hear about us?
Family
Friend/Co-worker
News
CGCC mailer or community education schedule
Search engine
Social media
Other
I give CGCC permission to email me about the selections I have made in this email.
Yes
No
Verify and Submit
Please verify that you are human
*
Send me info!
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