Information Request Form

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Congratulations on deciding to continue your education! Complete the information request form below to learn how Golden Gate University can help you achieve your educational goals. Form fields marked with an "*" must be completed to submit the form. You will also be added to our mailing list and will receive class schedules, invitations to free events and reminders of important term dates.

Please only submit requests for information once per potential student. If you've requested information previously and have questions, please contact us.

Privacy Policy: Your privacy is important to us. All information submitted on this form is considered confidential and will not be shared with anyone outside our organization without your consent.

"First Name" is required.

"Last Name" is required.

"E-mail" is required.

"Do you plan to study on an F or J visa?" is required.

"What educational level interests you?" is required.

"What educational program interests you?" is required.

"What is your preferred teaching location?" is required.

"How did you hear about GGU?" is required.

"Please specify" is required.

Personal Information

  • First Name:*

  • Middle Name:

  • Last Name:*

  • Gender:

  • Female
  • Male

  • Date of Birth:
    (mm/dd/yyyy)

  • Address:

  • City:

  • ZIP/Area Code:

  • State:


  • Country:


  • Please enter at least one phone number below. *

  • Preferred Phone: *

  • Mobile Phone:

  • Home Phone:

  • Work Phone:

  • Ext:

  • Email: *

Educational Information

  • Do you plan to study on a F or J visa? *

  • Yes
  • No

  • Have you ever attended an educational institution outside the United States? *

  • Yes
  • No

  • What is the highest level of education you have completed? *


  • What educational level interests you? *


  • What educational program interests you? *


  • When do you plan to continue your education? *


  • What is your preferred teaching location? *


Armed Forces Information

  • If you are a member of the United States Armed Forces, please indicate which branch you served in and your current status below.

  • Branch


  • Current Status:


Referral Information

  • How did you hear about GGU? *


  • Please specify: *


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