Student Application Form

Student Application Form
When do you plan to start?*

May 2013September 2013January 2014
Applying as a*

New StudentTransfer Student
Programs*

5 Year: Pre-Med4 Year - MDNursing
Have you inquired, applied or studied at St. Helen University before?*

NOYES
If YES please indicate your Student ID
How did you find out about St. Helen University?

Agent/RecruiterFacebookGoogleSHU WebinarSHU WebsiteNewspaperTVCollege FairRecruitment FairCampus VisitWord of MouthOther
Please specify a Recruiter

Bassam MouradBizzone ManagementDr. Anil RamdathKofi Ankamah and Team EducareLindsay DavidsonMepscorSharathi Student ConsultancyOther

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?

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

YESNO
If YES, Please indicate DATE OF TEST and SCORE
(Please have your official score report available)
Have you taken the Scholastic Aptitude Test (SAT)?

YESNO
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*

SelfParentsI have a sponsorOverseas Govt.Scholarship ApplicantOther
Name of Sponsor
Do you wish to access the list of accommodation?

YESNO
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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