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Gordon-Conwell Theological Seminary
STUDENT HEALTH PLAN

2025-2026 Enrollment Form

Fall Term 2025

Fall term students taking 6+ credits at both South Hamilton and Boston should complete this form to confirm and expedite enrollment for the GCTS Student Health Plan for the Fall Semester. 

If you do not complete this enrollment form by the DEADLINE of midnight on September 20, 2025 you will be automatically enrolled in the Student Health Plan with a "Student Only" plan. 


TO CONTINUE THE ENROLLMENT PROCESS, PLEASE FILL OUT THE REQUIRED FIELDS BELOW:

Asterisk (*) denotes required field

STUDENT INFORMATION

 (MM/DD/YYYY)