Application form

Application form
The University of St. Martin

Your Key to a Brighter Future
Name *

First Name Last Name
Middle name
Email *

Address *

Street and House number
District
City	Staat / Provincie
Country	Land

Telephone number *

- Area code Telephone number
Date of Birth *

/ Month / Day Year
Place of Birth *
Nationality *
Native language *
Citizenship *
Have you ever studied at USM? *

Yes No
If Employed name of Company
Telephone number

-
In case of Emergency, please contact *

First Name Last name
Emergency Contact number *

-
Intended Program of Study *

GED Associates of Arts in Business Specialization: Accounting Associates of Arts in Business Specialization: Business Management Associates of Arts in General Liberal Arts Associates of Arts in General Liberal Arts Specialization: Math and Science Associates of Arts in Hospitality and Tourism Management Bachelors of Arts in Elementary Education Bachelors of Arts in Business Administration Bachelors or Arts in Business Accounting Secondary Teaching Certificate Bachelors of Arts in Music Education Masters of Arts in Educational Leadership Masters of Arts in Education English as a Second Language Non Degree Program (please indicate course in other; e.g English, Spanish, Computer etc.)
When do you intend to enroll *

Spring Semester Summer Semester Fall Semester
Year
Intended year of Study
Will you be working towards a degree at USM? *

Yes, I intend to graduate No, 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 media Career Fair Visit to the campus/ Open House High school / Guidance Counselor Newspaper Radio/TV Referred by student Referred by Alumi
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

Bestand Uploaden
Diplomas, Personal Essay, Passport/ID, and Photo Cancel of
Please type the code in the image *
Signature

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Please note! All applicants must pay a $25.00 application fee when submitting your application form. Applications will not be evaluated until the payment is received by the USM Business Office at the campus.

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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Application form

The University of St. Martin