The Good Life Gap Semester - Spring 2025 
Keep in mind that what we value most in an application is authenticity. You don't have to pretend to be perfect.
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Email *
First Name *
Middle Name
Last Name *
Name you'd like to go by *
Pronouns *
Home Address: Street Name and Number *
Home Address: City/Town *
Home Address: State *
Home Address: Zip Code *
Birth Date *
MM
/
DD
/
YYYY
Phone Number *
Parent/Guardian #1:
Full Name, Address, Email and Phone Number
(please indicate the nature of the relationship)
*
Parent/Guardian #2 (if applicable):
Full Name, Address (if different than above), Email and Phone Number
(please indicate the nature of the relationship)
Would you like to be considered for our Good Life Scholarship for Black students, Indigenous students, and students of color? We have partial and full scholarships available.  If you select yes, we will reach out to you with further details. *
Would you like to be considered for our need-based Good Life Scholarship? We have partial scholarships available.  If you select yes, we will reach out to you with further details. *
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