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APPLY to Gavilan College. Allow 3 business days for your application to be processed.

Complete the Placement Assessment Complete the Gavilan College Establish your Self-Service
no sooner than 3 business days after submitting Orientation anytime after Banner Account no sooner than
your application. Wait 2 business days* after taking submitting your application and 3 business days after submitting your
the test, then... before meeting with a counselor. application. Directions on previous page.

See a Counselor for assistance with course registration.

You may choose to not participate in orientation. Doing this will


* Students who apply in Morgan Hill or Hollister must allow 3 business days. prevent you from participating in priority (early) registration.

Orientation is completed online or in person.


Visit www.gavilan.edu/orientation
“Everything you ever wanted to know about Gavilan but were afraid to ask.”

l How do I plan for my education goals? Only


l How do I prepare to transfer to a 4 year college or university? those students
l How do I know if my classes will transfer? who complete an
l What are the expectations of college students? orientation are eligible
to participate in
Online: Click on the Orientation link on the Gavilan homepage - www. “priority” (early)
gavilan.edu/orientation to complete the orientation or contact the Counseling registration.
Office at 408-848-4723.

In Person: In person orientations are generally offered during registation


periods prior to the start of the Spring and Fall semesters. Check with the
Counseling Department for a schedule.
Assessment/Placement Test
New students who plan to take the Placement/Assessment, please submit your Gavilan Application for
Admission at least 72 hours prior to your assessment date.

Visit the assessment website at www.gavilan.edu/admit/assess.html

w Students are required to reserve a seat for the date and time they wish to assess.
w Please, arrive 1/2 hour before the testing time to check-in. Doors will close 5 minutes prior to scheduled
testing time.
w A valid picture ID is required for admission to testing room. (Valid picture ID includes current California
Driver’s License or Identification Card, Military ID, Passport, or current Student Body Card. (Contact
the Assessment Office if you do not have valid ID. 408-846-4992 for further direction)
w Calculators and/or dictionaries of any kind are not allowed for testing.
w Cell phones, watches, pagers or any other wireless devices are not allowed in the testing room.
w Social Security number is required for scoring of exam at the present time.
w Your GAVILAN ID number is REQUIRED for the Assessment/Placement session.
w The Assessment staff will provide pencils for students.

Assessment Sessions
DATE DAY TIME SITE ROOM
Mar 05 Friday 12 noon-3pm Morgan Hill TBA
Mar 16 Tuesday 8:30am-11:30am Gilroy OE/MP-101
Mar 19 Friday 4:00pm-7:00pm Hollister TBA
Mar 27 Saturday 10:00am-1:00pm Gilroy TBA
Apr 01 Thursday 1:30pm-4:30pm Gilroy OE/MP-101
Apr 06 Tuesday 8:30am-11:30am Gilroy OE/MP-101
Apr 06 Tuesday A 12:30pm-3:30pm Gilroy OE/MP-101
Apr 07 Wednesday 12 noon-3:00pm Gilroy OE/MP-101
Apr 07 Wednesday 4:00pm-7:00pm Gilroy TBA
Apr 09 Friday 4:00pm-7:00pm Hollister TBA
Apr 17 Saturday 8:30am-11:30am Hollister TBA
Apr 19 Monday 8:30am-11:30am Gilroy OE/MP-101
Apr 22 Thursday 4:00pm-7:00pm Gilroy TBA
Apr 24 Saturday 10:00am-1:00pm Morgan Hill TBA
Apr 27 Tuesday 8:30am-11:30am Gilroy OE/MP-101
Apr 27 Tuesday 12:30pm-3:30pm Gilroy OE/MP-101
Apr 30 Friday 4:00pm-7:00pm Morgan Hill OE/MP-101

Re-Assessment Sessions
are usually administered at the Gilroy Campus in the Assessment Center MP-101
DAY DATE TIME LOCATION
Friday March 5 8:00am-10:00am Morgan Hill Room TBA
Wednesday March 17 8:00am-10:00am OE/MP-101
Wednesday March 17 1:30pm-3:30pm OE/MP-101
Thursday April 8 9:00am-11:00am OE/MP-101
Wednesday April 21 1:30pm-3:30pm OE/MP-101
Navigating Self-Service Banner

Creating Your Self-Service Banner How to Register for Classes


Student Account Go to the Gavilan homepage (www.gavilan.edu). Click on the Self
Service Banner icon.
Please set up your Banner Self-Service account before meeting
with a counselor for registration assistance. 1. Go to the Gavilan homepage
(www.gavilan.edu). Click on the
Self Service Banner icon.
• Register/Add/Drop Classes
• Check Class Availability and Fees 2. Click on Login to Gavilan Self-Service Banner. Enter your “G” number and
• Choose Pass/No Pass Options and Prerequisites PIN. Click Login.
• Search for classes by time, day, part of term, method of instruction
• View and print your semester schedule
• View your financial account and pay your bill with a credit card.
• View and print grades and unofficial transcripts
• Update personal information

New students must file an application 72 hours prior to registering.


If you have already received your nine digit “G-Number” (ID) and temporary PIN, 3. On the Main Menu page, select Student.
start at step #3 (below).
4. On the Student Menu page, select Registration.
1. Get Your “G” Number:
Go to the Gavilan homepage (www. 5. On the Registration
gavilan.edu). Click on the Self Service page, Click on Add
Banner icon. or Drop Classes.

2. Click the link that says Get Your Gavilan ID and PIN.
a. Enter your name exactly as it appears
on your school records.
b. Enter your social security number.
c. Enter your date of birth. (mm/dd/yyyy)
d. Click on Get Gavilan ID and PIN. 6. On the Registration Term
e. Write down your ID (‘G-number”). Write down your PIN. This is a page, select the term from the
drop down list for which you will Spring 2010
temporary PIN. In the next step you will create your permanent PIN. If
you are unable to access your Gavilan ID# and PIN call the help line at enroll (e.g. Spring 2010).
408-848-4736, Mon-Thur, 9 am - 5 pm.
f. Click on Close Browser Window. You will then return to the main
menu. 7. On the Registration page, select Add or Drop Classes.

3. From the main menu, click on Login to Gavilan Self-Service Banner and 8. On the Add or Drop
enter your ID number and temporary PIN.
Classes page, enter the
You will then receive a message Login Verification Change PIN
CRNs of the courses you
that your PIN has expired. Enter x wish to register for and
the old/temporary PIN number select Submit Changes.
first, then choose a new six digit Re-enter Old PIN:

New PIN:
(First-time users: enter your temporary PIN)

(Pin must be 6 digits long)


number that you will remember Re-enter new PIN:

and enter it on the next two lines. Login

9. If Status=**Web
4. On the next screen, enter a security question. It should be something that Registered** then
has an answer that does not change and you will always know (for example, you have successfully
‘What is my mother’s maiden registered for the
name?” or ‘What town was my Login Verification Security Question and Answer class(es).
sister born in?’) On the next If you forget your PIN, you can reset it yourself without calling for assistance.

line, enter the answer. Once Enter your personal Security Question, along with the Answer. This will enable you to reset your PIN and gain access to your
information. To help you to remember your answer, limit it to 30 characters, limit spaces, and do not use special characters.

you submit this question and You can change your security question and answer, as often as you would like, after you have successfully logged into GavSSB.

answer, you will be welcomed Enter Question:

to your personalized Banner


Answer: 10. To pay for the class(es) you have registered for, go to the bottom of the page and
Submit select Registration Fee Assessment and you will see your account balance
account!
information and payment instructions.
How to Make a Payment in Self-Service Banner

1. Go to the Gavilan website Don’t let this happen to you!


http://www.gavilan.edu and click on
the Self-Service Banner link.
Failure to pay by the deadines will
result in your being automatically
2. Log in to Self-Service Banner. Enter your Gavilan ID and your Personal
Identification Number (PIN). dropped from all of your classes!
When finished,
select Login. During Priority and Open Registration periods, all students will be required
to pay in full within a short period of time in order to stay registered for
User ID: G00 (i.e. G00xxxxxx)
classes.
PIN:

Login Forgot PIN? Non payment of fees by the deadlines printed online and
in the Schedule of Classes will result in students being
dropped from their classes (deregistered).
3. Click on Student Tab or button.
Then select Student Account - Students who receive financial aid will be expected to pay any fees that
the 4th option on the page. are not covered by grants and other aid. If you are unsure if you qualify
Then, on the next screen, for aid or the amount you will be expected to pay in fees upon registration,
click on Account Detail for Term. visit the Financial Aid Office on the main campus or view your financial aid
status on Self Service Banner.
Students will not receive notification that they have been dropped from
classes.
4. On the Select Term window, To check your registration status, go to www.gavilan.edu and log in to Self
select a term. Service Banner. Go to www.gavilan.edu and log in to Self-Service Banner.
e.g. if you want to see if you owe Go to:
money for the fall, select Fall 2009
• Student Menu and click on
and click the Submit button.
• Registration
• Select Active Registration (if you do not see your classes listed,
5. Account Detail for Term (view your balance due). Click on the Pay Now button
return to the Student Menu and select Student Account to view your
to make a payment online.
account balance.)
• Net Term Balance means what you owe for that specific term.
• Net Balance for Other Terms means what you owe for any other terms.
• Account Balance is the total amount that you owe.
We are anticipate that more students than ever will apply to
• Click on the Pay Now button to make a payment online.
Gavilan College and we expect classes to fill quickly. For best
selection, register early, but be prepared to pay by the payment
deadlines.
*Priority registration is for continuing students.

Payment of fees can be made in the following


ways:
6. You can pay with American Express, Self-Service Banner You can pay with American Express,
Discover, Mastercard or Visa
(including debit cards) to make an Discover, Mastercard or Visa (including debit cards.)
online payment. In Person at the main campus or at the Hollister or Morgan Hill sites.
Enter data and click on the Submit
Payment button.
By Mail Include your Gavilan ID number on the check and mail to:
Gavilan College
Admission and Records Office
Attn: Diane Sousa, Student Accounts
5055 Santa Teresa Blvd.
Gilroy, CA 95020
• Gavilan College /High School Contract Form •
PLEASE READ CAREFULLY BEFORE PROCEEDING

• Gavilan College accepts high school students whose cumulative grade semester, four units for summer.
point average is at least 2.00 for advanced (transfer level courses • All course prerequisites are applicable.
numbered 1 - 99), vocational, and physical education courses for
the Fall and Spring semesters. High school students may enroll for • All credit earned at Gavilan College is “college” credit.
non-transferable courses (numbered 100-499) only during the summer • A transcript of work completed at Gavilan will be sent to the
session. recommending school at the end of the semester.
• A Gavilan application, placement assessment scores and current • High School contract students pay the per unit fee and provide their own
transcripts from the student’s school are required before this form can texts and instructional supplies.
be reviewed by a Gavilan counselor. • All students shall conform to the college’s academic rules, regulations,
• Students may enroll for a maximum of six units for fall and spring and codes of conduct.

Student’s Name _____________________________________ Gavilan ID Number G00 __________________


Last First M.I.

Mailing Address ______________________________________________________________________________


Street City State zip

Tel. # ________________________ Date of Birth _______________ Last Grade Completed _______________

Semester for which student is applying: Fall _______ Spring _______ Summer _______ 20 _______

• The Student’s School Counselor/ Designated School Official Recommends These Courses •
Specify recommended courses and units (Enrollment limited to courses numbered 1 - 99 except during the summer)
________________________________________ ________________________________________
________________________________________ ________________________________________

• Recommendations (Parent/Guardian, High School Official and Gavilan Counselor) •

1) Signature of Parent or Guardian _________________________________________ Date ____________


Name Tel. #

In an emergency, contact __________________________________________________________________

2) Name and Address of School ______________________________________________________________

3) Name and Signature of Recommending School Official


NAME (please print) ______________________ SIGNATURE _________________________ Date ____________

The recommendation of the school official signifies that the student is in good standing at his/her school, has a
cumulative grade point average of at least 2.00, is eligible for continued enrollment, and has the ability and maturity to
benefit from college-level instruction. A current transcript of the student’s coursework must accompany this form.

2a) District Verification of “Home School” registration ___________________________________________

4) The signature of the Gavilan Counselor verifies the following:

 The placement assessment was completed on (date) ______________


 English Score ____________ Math Score ______________ DRC exemption? _____________
 The recommended course is numbered 1 - 99 (summer term exempted)
 A current transcript from the student’s school is attached and the student is in good standing.
 The cumulative high school grade point average is ______________ (2.0 minimum required)

Gavilan College Counselor _______________________________________________ Date _______________


Gavilan College Majors
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APPLICATION for ADMISSION Intersession - Summer - Fall - Spring GAVILAN COLLEGE
1 NAME
Gavilan ID # G00
(As you wish it to
appear on your records ) Last Name First Name Middle Name

Current Soc. Sec. #


Mailing Street City
Address E-mail Address
State Zip

Home Phone # Name on Previous Gavilan Records:

Cell Phone #

2 GENDER Male ____ Female _____ 4 CITIZENSHIP 5 MARITAL STATUS


1. U.S. Citizen Unmarried __________
3 BIRTHDATE 2. Permanent Resident: INS Number Date Issued Married __________
Month Day Year 3. Temporary Resident: INS Number Date Issued
Decline to State _____
4. Refugee/Asylee (verification required)
PLACE OF BIRTH 5. F-1 Student Visa Enter Appropriate
State or Country Number in Box
6. Other (specify)

6 PREDOMINANT ETHNIC BACKGROUND 7 STUDENT TYPE

B. African-American, Non-Hispanic AK Korean HS South American 1 NEW, never attended any college
N. American Indian, Alaskan Native AL Laotian AV Vietnamese 2 NEW TRANSFER, attended college
AI Asian Islander HM Mexican, Mexican W. White, Non-Hispanic other than Gavilan
AM Cambodian American, Chicano XD Decline to State 3 RETURNING, last attended Gavilan
HR Central American AX Other Asian but not last semester.Date of last
AC Chinese HX Other Hispanic attendance at Gavilan:
Enter Appropriate
F. Filipino O. Other Non-White Code in Box Enter Appropriate
PG Guanamian PX Other Pacific Islander Semester __________ Number in Box
PH Hawaiian PS Samoan
AJ Japanese Year _________

8 EDUCATIONAL GOALS

1 Personal Interest, not for employment 7 Discover/Formulate Career Interests, Plans, Goals
2 Transfer to a 4-year College WITH AA, AS Degree 8 Job Skills, to Prepare for a New Job/Career Enter Appropriate
3 Transfer to a 4-year College WITHOUT AA, AS Degree 9 Enhance Present Job Skills Number in Box
4 Associate Degree, General Education 10 Maintain Certificate or License (e.g., Nursing)
5 Associate Degree, Vocational 11 Improve Basic Skills in English, Reading, or Math
6 Vocational Certificate 12 Complete Credits for High School Diploma or GED
13 Undecided on Goal

9 STUDENT EDUCATION LEVEL (Highest level of education )


1 Not a graduate of, and no longer in high school 7 Foreign High School Graduate Enter Appropriate
Number in Box
2 High school student (currrently enrolled in grades 9-12) 8 Received an Associate Degree
3 Currently Enrolled in Adult School 9 Received a Baccalaureate or Higher Degree **
4 Received High School Diploma *
5 Received GED or Certificate of Equivalency/Completion * Year of High **Year Degree
6 Received Certificate or High School Proficiency Exam School Diploma Conferred

10 HIGH SCHOOL LAST ATTENDED


433395 Live Oak 274413 Palma
Christopher High 433352 Leland
433448 Central 273455 Salinas
011449 TJ Owens (GECA) 433363 Lick (James)
433061 El Portal 433002 Sta Teresa
353002 San Andreas Contin. 273317 North Salinas
433283 Gilroy 433790 Silver Creek
353006 Anzar 274405 Notre Dame (Salinas)
433485 Mt. Madonna 443790 Watsonville
433008 Gunderson 433520 Oak Grove
353700 San Benito 433895 Willow Glen
433299 Hill (Andrew) 433542 Overfelt
353650 San Benito Evening 010236 Ann Sobrato
Name & Location of High School if Not Listed Above
name city state

11 MAJOR 12 DIRECTORY INFORMATION


No personal data other than directory information
Major AA AS Certificate will be released without your written consent.

13 ETHNICITY

Not Hispanic or Latino Hispanic or Latino None

GAVILAN COLLEGE 10/09-A&R


STATEMENT OF LEGAL RESIDENCE

Name Gavilan ID# G00


Last First Middle Initial

Address Street

Date of birth
City State Zip

PART A To Be Completed By All Applicants


Have you lived in California for the past two years?
Yes _____ If you answered “Yes" and you are unmarried and under the age of 19, go to Part B, otherwise,
skip to Part D.
No _____ If you answered “No”, complete the following:
• Date present stay in California began __________________
• Do you intend California to be your permanent residence? Yes ___ No ___
• Did you file California State Income Tax for the last two years? Yes ___ No ___
• Are you a public school credentialed employee? Yes ___ No ___
• Are you a seasonal agricultural employee or dependent? Yes ___ No ___

• Drivers License or ID Card? State: __________ Date Issued: __________

• Registered to Vote? State: __________ Date Registered: __________

• Vehicle Registration? State: __________ Date Issued: _________

• Other Proof of Residency in California ________________________________________________________

• List states lived in for the last two years and the dates:
State: __________________ from __________ to __________

State: __________________ from __________ to __________


PART B To Be Completed About Your Parents or Legal Guardian If You Are UNMARRIED and UNDER the AGE OF 19
I have lived continuously for the past two years with one or both of my parents and he/she/they have lived
continuously for the past two years at the California address noted below:
Street City State

Yes ____ If “Yes”, Check one: Both Parents ______ Mother ______ Father _____ Legal Guardian ____
No ____ If “No" and you wish to be considered a California resident, please complete the following
about your parent(s) or legal guardian:
• Did they file California State Income Tax the last two years? Yes ___ No ___
• Do(es) he/she/they have any of the following?
• Driver’s License or ID card State: __________ Date Issued: __________
• Vehicle Registration? State: __________ Date Issued: __________
• Voter Registration? State: __________ Date Registered: __________
• Other Proof of Residency in California

PART C To Be Completed by Active Military Persons, Dependents, or Veterans Discharged Within the Last Year

• Are you a member of the military? Yes ___ No ___ Note:


• Are you a dependent of an active military person? Yes ___ No ___ Active duty military persons and/or dependents
• When did your or your sponsor’s tour begin must provide a statement from the commanding
in California? ______________ officer stating the date of assignment and that
• What is your state of legal residence on the assignment to California is not for educational
military records? _______________ purposes. Dependents must also provide a letter
stating that they are the dependent of a military
person for the purposes of Federal Tax exemption.
PART D To Be Signed by All Applicants
I declare under penalty of perjury that the statements submitted by me in connection with this application and for
determination of residency are true and correct. All materials submitted by me for purposes of admission become the
property of Gavilan College. I understand that falsification, withholding pertinent data, or failure to report changes in
residence may result in my dismissal from the College.

Student’s Signature Date 11/09-A&R


INTERCOLLEGIATE ATHLETICS INTEREST FORM

Gavilan College is a member institution of the California Community College Athletic Association and competes in the Coast Conference. If you have an interest in
participating as a student-athlete, please complete the following information. A representative from the athletic department will contact you. You may also visit our
website at www.gavilan.edu/athletics for more information.

Name ___________________________________________________________________________  Male  Female Year & Term ______________________

Address _____________________________________________________________________________________________________________________________

Home Phone ______________________________________________________ Cell Phone ________________________________________________________

Email Address __________________________________________________________________________________________________________________________

High School Attended ___________________________________________________________________________________________ Year Graduated ___________

Other Colleges Attended/Year _____________________________________________________________________________________________________________

I am interested in participating in the following intercollegiate sports at Gavilan College:


Please mark all that apply: (M) indicates men’s team; (W) indicates women’s team.

 Badminton (W)  Baseball  Basketball (M)  Basketball (W)


 Cross Country (M)  Cross Country (W)  Football  Golf (M)
 Golf (W)  Soccer (M)  Soccer (W)  Softball
 Swimming (M)  Swimming (W)  Tennis (M)  Tennis (W)
 Track & Field (M)  Track & Field (W)  Volleyball (M)  Volleyball (W)
 Water Polo (M)  Water Polo (W)  Wrestling

Gavilan College
Office of Admissions and Records
5055 Santa Teresa Blvd Gilroy CA 95020
www.gavilan.edu
408 848 4735
fax 408 846 4940

Educational Support Services for Students with Disabilities


If you would like to be contacted regarding supportive services complete this form and return it to the Disability
Resource Center or the Admissions and Records Office at Gavilan College. For more information on available services, con-
tact the Disability Resource Center at 408 848 4865.

Name
Last First Middle

Address
Street City State Zip Code

Phone
Check any of the following that currently apply:
Deaf or
Hard of Acquired Low Vision Developmentally Learning
____ Hearing ____ Injury _____ or Blind _____ Delayed Learner ____ Disability

Other Psychological
_____ Physical ______ Impairment ______ Mobility ______ Other
~ Program is for 1st time college freshmen ONLY ~

APPLICATION - Spring 2010

Name:_________________________________ Gavilan ID #: G00______________________


Address:_______________________________ Phone: (______) __________-____________
City:___________________________________ Cell Phone:___________________________
Zip Code:_______________________________ Email:_______________________________

* Attach your high school transcript (must include senior year coursework.) *

I would like to transfer to: _____California State University _____ University of California

_____ Private College/University _____ Not sure which system

Are you working while attending college? ___Yes (# of hours per week _____) ____No
Are you eligible for financial aid? _____Yes _____No _____ Don’t Know
High School Graduate? _____Yes _____No _____GED Year Graduated:_______________

~ Program is for 1st time college freshmen ONLY ~

Name of High School:________________________________________ City:______________________ State:______


Major:___________________________________________ Currently Undecided:__________________________

Please describe why you want to be part of the Transfer Institute:___________________________________________________


_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

For office use only College Level: English 1A and Transfer Level Math:
Placement/Assessment Scores: _________Reading __________Writing ___________Math

Intent to Register:
I agree to make a full commitment to the Transfer Institute. This commitment includes the following:
 Sign a Transfer Institute agreement by September, 2010.
 Meet with a counselor three times per semester.
 Participate in Transfer Institute activities.

Student Signature:___________________________________ Date:____________________

IMPORTANT, PLEASE RETURN TO:


Gavilan College Counseling Department
5055 Santa Teresa Blvd.
Gilroy, CA 95020

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