hol Holland

Information Request

To request information on Programs, please complete the following form and then click Submit.

*Required Fields In Bold

Request Type:
First Name:
Middle Initial:
Last Name:
Suffix:
Date of Birth:
Email:
Permanent Address Country:
Address Line 1:
Address Line 2:
City:
State:
Zip: (xxxxx or xxxxx-xxxx)




 
515. South Waverly Road • Holland MI 49423
Phone 616-331-3910 • holland@gvsu.edu