Apply to GPS
To simplify the application process, review the online form in advance to determine what documents/information are required. Note: This form will time out after 90 minutes. If you have any questions concerning this application, please call an admissions counselor at 800-752-4723 or 207-893-7841 (Fax 207-892-7480) or e-mail us at info@sjcme.edu.

We are accepting new applications for the MSN- Family Nurse Practitioner specialty or the Graduate Certificate in Family Nurse Practitioner at this time. New applications will be reviewed in May 2014.

* Required Information

Academic Program
Please select one program only *

Undergraduate Degree Program:

Graduate Degree Program:

Certificate Program:

Continuing Education Program:

Are you enrolling as a graduate from a partner institution that has a 2 plus TWO or a 3 plus ONE agreement with Saint Joseph's?*

If YES, please indicate school/program. Select 'OTHER' if not listed:

If OTHER, please indicate school/progam name:

Have you ever applied to Saint Joseph's?*


Personal Information
Legal Name: Please enter name exactly as it appears on official documents.

Legal First Name:*

Legal Last Name:*

Middle Initial:

Preferred Name, if not Legal First Name:

Former/Maiden Name:

Address:*

City:*

State:*

Zip:*

Country:*

Home Phone Number:
Format: 555-111-9876

Mobile Phone Number:
Format: 555-111-9876

Work Phone Number:
Format: 555-111-9876

International Phone Number:

Preferred Contact Phone Number:*

Time Available:

Email Address:*

Social Security Number:
Format: 123-45-6789
Saint Joseph's College of Maine uses SSN for various tax records and filings that are required under State and Fed'l tax law. If not provided on your admission application, you will be required to provide it in advance of enrolling in a course.

Date of Birth:*
Format: 04/18/2014

Place of Birth:*

Citizenship:*


Previous Education
Please list all past education (including community college, technical, nursing or allied health schools) and have official transcripts sent directly from these institutions to Enrollment Services, ATTN: Graduate & Professional Studies, 278 Whites Bridge Road, Standish, ME 04084-5263. Evaluation will not take place until receipt of all transcripts. Continuing Education students are exempt from having to send transcripts. High School transcripts are required only if no undergraduate credits have been earned.

Have you ever been enrolled in a degree program at Saint Joseph's College of Maine?*

High School Name:*

High School State:*

High School Beginning Date Attended:*
Format: 04/2014

High School Ending Date Attended:*
Format: 04/2014

Diploma/GED Awarded:*


Undergraduate Information
Scroll down to enter up to nine additional undergraduate institutions (using scrollbar on the right side of the Undergraduate Information section).


Undergraduate Institution 1:

Undergraduate Institution State:

Undergraduate Institution Beginning Date:
Format: 04/2014

Undergraduate Institution Ending Date:
Format: 04/2014

Undergraduate Institution Semester Hour Credits Earned:

Undergraduate Institution Degree, Certificate or Diploma Awarded:

Undergraduate Institution Year Awarded:


Undergraduate Institution 2:

Undergraduate Institution State:

Undergraduate Institution Beginning Date:
Format: 04/2014

Undergraduate Institution Ending Date:
Format: 04/2014

Undergraduate Institution Semester Hour Credits Earned:

Undergraduate Institution Degree, Certificate or Diploma Awarded:

Undergraduate Institution Year Awarded:


Undergraduate Institution 3:

Undergraduate Institution State:

Undergraduate Institution Beginning Date:
Format: 04/2014

Undergraduate Institution Ending Date:
Format: 04/2014

Undergraduate Institution Semester Hour Credits Earned:

Undergraduate Institution Degree, Certificate or Diploma Awarded:

Undergraduate Institution Year Awarded:


Undergraduate Institution 4:

Undergraduate Institution State:

Undergraduate Institution Beginning Date:
Format: 04/2014

Undergraduate Institution Ending Date:
Format: 04/2014

Undergraduate Institution Semester Hour Credits Earned:

Undergraduate Institution Degree, Certificate or Diploma Awarded:

Undergraduate Institution Year Awarded:


Undergraduate Institution 5:

Undergraduate Institution State:

Undergraduate Institution Beginning Date:
Format: 04/2014

Undergraduate Institution Ending Date:
Format: 04/2014

Undergraduate Institution Semester Hour Credits Earned:

Undergraduate Institution Degree, Certificate or Diploma Awarded:

Undergraduate Institution Year Awarded:


Undergraduate Institution 6:

Undergraduate Institution State:

Undergraduate Institution Beginning Date:
Format: 04/2014

Undergraduate Institution Ending Date:
Format: 04/2014

Undergraduate Institution Semester Hour Credits Earned:

Undergraduate Institution Degree, Certificate or Diploma Awarded:

Undergraduate Institution Year Awarded:


Undergraduate Institution 7:

Undergraduate Institution State:

Undergraduate Institution Beginning Date:
Format: 04/2014

Undergraduate Institution Ending Date:
Format: 04/2014

Undergraduate Institution Semester Hour Credits Earned:

Undergraduate Institution Degree, Certificate or Diploma Awarded:

Undergraduate Institution Year Awarded:


Undergraduate Institution 8:

Undergraduate Institution State:

Undergraduate Institution Beginning Date:
Format: 04/2014

Undergraduate Institution Ending Date:
Format: 04/2014

Undergraduate Institution Semester Hour Credits Earned:

Undergraduate Institution Degree, Certificate or Diploma Awarded:

Undergraduate Institution Year Awarded:


Undergraduate Institution 9:

Undergraduate Institution State:

Undergraduate Institution Beginning Date:
Format: 04/2014

Undergraduate Institution Ending Date:
Format: 04/2014

Undergraduate Institution Semester Hour Credits Earned:

Undergraduate Institution Degree, Certificate or Diploma Awarded:

Undergraduate Institution Year Awarded:


Undergraduate Institution 10:

Undergraduate Institution State:

Undergraduate Institution Beginning Date:
Format: 04/2014

Undergraduate Institution Ending Date:
Format: 04/2014

Undergraduate Institution Semester Hour Credits Earned:

Undergraduate Institution Degree, Certificate or Diploma Awarded:

Undergraduate Institution Year Awarded:


Graduate Information
Scroll down to enter up to two additional graduate institutions (using scrollbar on the right side of the Graduate Information section).


Graduate Institution 1:

Graduate Institution State:

Graduate Institution Beginning Date:
Format: 04/2014

Graduate Institution Ending Date:
Format: 04/2014

Graduate Institution Semester Hour Credits Earned:

Graduate Institution Degree, Certificate or Diploma Awarded:

Graduate Institution Year Awarded:


Graduate Institution 2:

Graduate Institution State:

Graduate Institution Beginning Date:
Format: 04/2014

Graduate Institution Ending Date:
Format: 04/2014

Graduate Institution Semester Hour Credits Earned:

Graduate Institution Degree, Certificate or Diploma Awarded:

Graduate Institution Year Awarded:


Graduate Institution 3:

Graduate Institution State:

Graduate Institution Beginning Date:
Format: 04/2014

Graduate Institution Ending Date:
Format: 04/2014

Graduate Institution Semester Hour Credits Earned:

Graduate Institution Degree, Certificate or Diploma Awarded:

Graduate Institution Year Awarded:


Employment Information
If your Employer is an Education Partner with Saint Joseph's College, please indicate Partner Name:

Place of employment:

Position/Title:

Length of employment in current position:

Total years of experience in field:


Military Status (U.S. Citizens only)
Are you applying for VA education benefits?*

If YES under what Chapter?

Please indicate if you are an Active Duty Military, National Guard , Reserves member or a Military Spouse:*

If YES are you using Tuition Assistance or MYCAA?

If YES please enter the military branch:

AND the Military Installation:


Race/Ethnicity Information
Optional/Voluntary

How do you describe yourself?

Specify Other:


How Did You Hear About Us
Please tell us how you heard about Saint Joseph's College of Maine:*


International Applicants Only
Foreign-born applicants from non-English speaking nations must submit a satisfactory TOEFL score at the time of application to any program in order to gain acceptance, regardless of other credentials, unless graduated from an English-speaking school at the secondary level. In addition to recording the TOEFL score below, the official TOEFL scores must be sent by the testing agency directly to Enrollment Services, Graduate & Professional Studies, 278 Whites Bridge Road, Standish, ME 04084-5263.

TOEFL Score:


Payment Information
Saint Joseph's College accepts payment of fees by check, money order, MasterCard, Visa, American Express and Discover cards. Many employers offer tuition reimbursement as an employee benefit. Please check with your employer to see if you are eligible.

Are you eligible for employer tuition reimbursements?*

Will you be applying for financial aid?*

Select applicable application fee:*
This is the amount that will be charged to your credit card.




Non-discrimination clause
Saint Joseph's College admits students without regard to race, color, religion, national or ethnic origin, gender, age, or disability to all the rights, privileges, programs and activities generally accorded or made available to students at the College. The College does not discriminate on the basis of race, color, religion, national or ethnic origin, gender, age, or disability in administration of its educational policies, admission policies, scholarship and loan programs, and athletic and other school administered programs. Saint Joseph's College is also authorized under Federal Law to enroll nonimmigrant alien students. IF YOU HAVE ANY QUESTIONS CONCERNING THIS APPLICATION OR NEED ASSISTANCE, PLEASE CALL AN ADMISSIONS COUNSELOR AT 800-752-4723 OR 207-893-7841 or e-mail us at info@sjcme.edu.


Currently our online payment portal does not accommodate applicants who live outside of the USA. If you live outside of the United States and wish to pay by credit card, please select "International CC payment" as your method of payment. You must then contact our Admissions office at 1-800-752-4723 or 1-207-893-7841 indicating that you are interested in making a credit card payment from an address outside of the US. (Note: Please do not email us your credit card information.)

Method of payment:
If paying by check or money order, mail your payment to:
Graduate & Professional Studies
Saint Joseph's College of Maine
Attn: Student Accounts Coordinator
278 Whites Bridge Road
Standish, ME 04084-5263

Amount to be charged:*


Agreement
I, the undersigned, certify to the best of my ability and knowledge that the information given on this application is correct. I understand that any misrepresentation may be cause for refusal of admission or subsequent dismissal. I understand that any material submitted in support of my application will be held confidential by the Admissions Department of the Division of Graduate & Professional Studies, unless I give permission otherwise. I understand that, as with any other institution of higher education, credits earned at Saint Joseph's College are transferable only at the discretion of the receiving institution. I understand that a non-refundable application fee is required for processing this application.

Agreement:*
Type AGREE here if you agree with all terms and conditions listed above.

Type Your Full Name:*
The name typed in this box must match the first and last name entered in the 'Personal Information' box.

Agreement Date:*
Format: 04/18/2014




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