First Name

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Gender

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Country

Street Address

City

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Province

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Phone

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Desired Program

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Have you ever enrolled in a course at the University of Maine System?

Are you currently enrolled in a degree program at the University of Southern Maine?

Current Level of Education

Academic History

Please provide information on high school and colleges you have attended, listing most recent first: (Dates of attendance can be approximate)

School Name	School City	School State	School Country	Attended Start Date	Attended End Date

You can also send transcripts or other supporting materials to:
Application Processing Center
University of Maine System
P.O. Box 412
Bangor, ME 04402-0412

Unofficial documents can be emailed to: admitusm@maine.edu

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The University of Southern Maine is an EEO/AA institution and does not discriminate on the grounds of race, color, religion, sex, sexual orientation, transgender status, gender expression, national origin, citizenship status, age, disability, genetic information or veteran’s status in employment, education, and all other programs and activities. The following person has been designated to handle inquiries regarding non-discrimination policies: Director of Equal Opportunity, 101 Boudreau Hall, University of Maine, Orono, ME 04469-5754, 207.581.1226, TTY 711 (Maine Relay System).