Student Application Form

Student Application Form
When do you plan to start? *

May 2013 September 2013 January 2014
Applying as a *

New Student Transfer Student
Programs *

5 Year: Pre-Med 4 Year - MD Nursing
Have you inquired, applied or studied at St. Helen University before? *

NO YES
If YES please indicate your Student ID
How did you find out about St. Helen University?

Agent/Recruiter Facebook Google SHU Webinar SHU Website Newspaper TV College Fair Recruitment Fair Campus Visit Word of Mouth Other
Please specify a Recruiter

Bassam Mourad Bizzone Management Dr. Anil Ramdath Kofi Ankamah and Team Educare Lindsay Davidson Mepscor Sharathi Student Consultancy

PASSES - CXC General, High School Diploma or Technical Proficiency or GCE O’Level

TAKEN or AWAITING RESULTS - CXC General, High School Diploma or Technical Proficiency or GCE O’Level

PASSES - "A" Level, CAPE, AP, ASE, IB, Professional or Other qualifications

TAKEN or AWAITING RESULTS - "A" Level, CAPE, AP, ASE, IB, Professional or Other qualifications

Summary of Post Secondary Education

Is English your first or native language?

YES NO
If NO have you taken the TEST OF ENGLISH AS A FOREIGN LANGUAGE(TOEFL)?

YES NO
If YES, Please indicate DATE OF TEST and SCORE
(Please have your official score report available)
Have you taken the Scholastic Aptitude Test (SAT)?

YES NO
If YES, Please indicate DATE OF TEST and SCORE
(Please have your official score report available)

3: JUST A LITTLE MORE... Click to open
Source of Funding *

Self Parents I have a sponsor Overseas Govt. Scholarship Applicant
Name of Sponsor
Do you wish to access the list of accommodation?

YES NO
Tell us more about yourself, extra curricular activities, hobbies, interests, etc
Please state your reason for choosing a career in medicine (250 words or less).

4: SUBMIT - Click to open
Submission of this application does not guarantee or constitute acceptance at St. Helen University. By my application I agree with the terms and conditions. *

I agree
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