ST. Thomas Learning Center Number (if applicable):

Are you applying as a: Are you applying as a:First Year Undergraduate StudentTransfer Undergraduate StudentGraduate StudentTransfer Graduate Student

Family (Last) Name:

First Name:

Date Of Birth:

Place of Birth:

Citizenship:

Tax Code (if applicable):

Country of Birth:

Permanent Street Address:

City:

State:

Zip/Postal code:

Country:

Phone:

Mobile Phone:

Email Address:

Confirm Email Address:

Degree Program Applying For (choose only one): Degree Program Applying For (choose only one): Bachelor of Science in Computer Science Bachelor of Science in Business Administration Bachelor of Science in Digital Education Bachelor of Science in Nursing Bachelor of Science in Dietetics Undecided Master of Science in Cybersecurity Master of Science in Artificial Intelligent Systems MBA - Master of Business Administration Master of Arts in Digital Education Master of Science in Nursing Master of Science in Human Nutrition Master of Science in Public Health Nursing

Are you under 18 years of age (if you are under 18 please fill in the legal guardian information below): Are you under 18 years of age (if you are under 18 please fill in the legal guardian information below): Yes No

Legal Guardians Last Name:

Legal Guardians First Name:

Legal Guardians Street Address:

Legal Guardians City:

Legal Guardians State:

Legal Guardians Zip/Postal Code:

Legal Guardians Country:

Legal Guardians Phone :

Legal Guardians Mobile Phone:

Legal Guardians E-mail Address:

Are you a First Year Student or a Transfer Student with less than 30 hours (if yes, please complete the High School questions below): Are you a First Year Student or a Transfer Student with less than 30 hours (if yes, please complete the High School questions below): Yes No

High School Attended:

Years of High School Attendance (Number of Years):

High School Graduation Date:

High School Address:

Are you applying to a Graduate program at ST. Thomas University (if yes, please complete the following post secondary questions): Are you applying to a Graduate program at ST. Thomas University (if yes, please complete the following post secondary questions): Yes No

College/University Attended:

Years of College/University Attendance (Number of Years):

Degree Granted:

Are you transferring to ST. Thomas University (if yes, please complete the following Transfer Student questions starting with the most recent school attended first): Are you transferring to ST. Thomas University (if yes, please complete the following Transfer Student questions starting with the most recent school attended first): Yes No

College/University 1:

Years of Attendance at College/University 1 (Number of Years):

College/University 1 Graduation Date (if graduated):

Degree or Major Pursued:

Degree Awarded (if any):

College/University 1 Address:

College/University 2:

Years of Attendance at College/University 2 (Number of Years):

College/University 2 Graduation Date (if graduated):

Degree or Major Pursued:

Degree Awarded (if any):

College/University 2 Address:

College/University 3:

Years of Attendance at College/University 3 (Number of Years):

College/University 3 Graduation Date (if graduated):

Degree or Major Pursued:

Degree Awarded (if any):

College/University 3 Address:

Other Languages Spoken

Is English your primary, or native, language? Is English your primary, or native, language? Yes No

If English in not your native language you must demonstrate your English language proficiency in one of the following way (select all that apply): If English in not your native language you must demonstrate your English language proficiency in one of the following way (select all that apply): by demonstrating that you attended a high school or university where English was the primary language if instruction for 75 percent of all subjects or courses. by attaining a passing score on the TOEFL® exam (Test of English as a Foreign Language exam) by attaining a passing score on the TOEIC® exam (Test of English as an International Communication exam) by attaining a passing score on the IELTS® exam (International English Language Testing System exam) By attaining a passing score on the CAMBRIDGE ENGLISH ASSESSMENT STU Certificate in Advanced Academic English

Insert your passing English proficiency score here:

Certification of Accuracy Certification of Accuracy I certify that all information provided herein is my work and, to the best of my knowledge, is complete and accurate. I understand that any misrepresentations in this application may result in denial of admissions or dismissal.

Acknowledgement of Admissions Requirments Acknowledgement of Admissions Requirments I understand applicants must meet program requirements and be approved by the program admissions committee. I further understand that to an undergraduate or graduate program does not guarantee admissions to the univeristy or acceptance into a program.

Privacy Privacy I now declare that I have read the STU Privacy Policy and permit STU to use my data to contact me regarding this inquiry.

Hold Harmless Hold Harmless I hereby release and discharge St Thomas University, its members, their officer, agents, and employees from any claims, demand, rights, and causes of action of any kind whatsoever arising out of or on account of any personal injury, property damage, or its consequences, arising out of or in any way connected with my participation in the program. I I further wish to represent and agree that, for the above consideration, I will not sue St Thomas University, its members, officers, agents, or employees for any claims arising from my voluntary participation in this program.

Truth and Accuracy Statement Truth and Accuracy Statement The information I have provided is true and accurate to to the best of my knowledge. I am fully aware that providing false information during the application process may be grounds for rejection of my application or dismissal without refund from St. Thomas University.

Change Notice and Application Agreement Change Notice and Application Agreement I agree to promptly notify St Thomas University of any changes to my residence, telephone number, and e-mail address. I agree to attend the degree program according to the admissions and attendance rules of St. Thomas University. I further indicate that I am freely choosing to take online courses through St Thomas University and will abide by the rules, regulations, and codes of conduct established by St Thomas University; and I agree to pay all regular fees and tuition as agreed to in the enrollment agreement.

Consent To Process Consent To Process I consent to the processing of this information for the legitimate business purposes of my enrollment and attendance at ST Thomas University and I have been informed that the personal information collected will be processed solely in the context of the proceeding for which it was provided.

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