Degree Application form

The University of St. Martin

Your Key to a Brighter Future
Discipline is choosing between what you want now and what you want most.

"Abraham Lincoln"
Please note: Due to the current Covid-19 pandemic USM will adopt a blended learning method for some classes. These classes will be offered both on-campus and online.
Name*

First NameMiddle NameLast Name
Email*
Address*

Street and House number

District

CityStaat / Provincie

Country
Telephone number*

Area codeTelephone number
Date of Birth*

MonthDayYear
Place of Birth*
Nationality*
Native language*
In case of Emergency, please contact*

First NameLast NameContact Number
If Employed name of Company
Telephone number
Have you previously studied at USM*

GEDPre-USMDegree prgramNo
Intended Program of Study*

Associates of Arts in Business *BTECAssociates of Arts in General Liberal ArtsAssociates of Arts in General Liberal Arts Specialization: Math and ScienceAssociates of Arts in Hospitality and Tourism Management *BTECBachelors of Arts in Elementary EducationBachelors of Arts in Business AdministrationSecondary Teaching CertificateBachelors of Arts in Music EducationMasters of Arts in Educational LeadershipMasters of Arts in EducationNon Degree Program (please indicate course in other; e.g English, Spanish, Computer etc.)Other
Program start date*

Spring Semester (January)Summer Semester (June)Fall Semester (August)
Year
Intended year of Study
Do you have the facilities to complete the program online?*
Would you prefer to complete this program online?
Will you be working towards a degree at USM?*

Yes, I intend to graduateNo, I will be transferring to another University
Medical conditions
Please list any medical conditions that you may have suffered from
Do you have any special needs
If so, please list
How did you hear about the University of St. Martin?*

Internet/Website/Social mediaCareer FairVisit to the campus/ Open HouseHigh school / Guidance CounselorNewspaperRadio/TVReferred by studentReferred by AlumiOther
List all educational institutions attended starting from high school to the University of St. Martin, if applicable.

Name of high school/college university (please list most recent first) *

	School	From Month Year	To Month Year	Diploma /degree completed	Examination
1
2
3
4

Supporting Documents

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Diplomas, Personal Essay, and Photo Cancelof
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Signature

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IMPORTANT NOTICE

All applicants must pay $25.00 (non refundable) application fee after submission of the application form. Applications will not be evaluated until payment is received by the USM Admission Department.

Windward Island Bank

University of SXM Foundation Account #80969100 US$
University of SXM Foundation Account #80969307 NAF

Please ensure to send a copy of your valid ID along with your proof of payment to admission@usm.sx including your full name i.e "Alex Richardson".

I certify that the information provided on this application is accurate. I understand that withholding of information or giving false information will result in my application being terminated.
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The University of St. Martin

Discipline is choosing between what you want now and what you want most.