Admission

CMU Online Application - Step 1

Merchant Services

Please complete the following Online Application for Admission to Caribbean Medical University to officially apply to the University. Each Step contains required and optional items, we need to process your application. If you have questions about or problems with the application system, please contact us by phone, email or LiveHelp.

Items marked with a red star (*) are required and the application won't be processed if missing.

Step 1: Personal Data
 Personal Information
Last Name: *
First Name: *
Middle Name:  
Date of Birth: *
/ /
Place of Birth: *
Country of Birth:*
Social Security Number:  
- -
Mother's Maiden Name *:
Gender *:
Female Male
Citizenship : *
If not a U.S. citizen, are you a permanent resident?  
Yes      No
 Permanent Address
Street Address: *
Apt. #:  
City: *
State:  
Zip Code: *
  
Country: *
Phone Number: *
( ) - -
Cell Number:  
( ) - -
Email Address: *
I want to sign up for CMU Newsletter to be sent to my email address.
 Mailing Address       same as Permanent Address
Street Address: *
Apt. #:  
City: *
State:  
Zip Code: *
  
Country: *
 Emergency Contact Information
Last Name: *
First Name: *
Relationship: *
Date of Birth: *
/ /
Phone Number: *
( ) - -
Email Address:  
I authorize that person to access my academic and financial records at CMU. You may withdraw the authorization at any time by calling the Office of Student Affairs
 Disciplinary Questionnaire
Have you ever: 
been convicted of a felony or crime?* Yes       No
been dismissed from any academic institution? * Yes       No
been treated for mental illness or substance abuse? * Yes       No
If you answered YES to any of the above questions please describe the situation

spacer We secure the confidentiality of your information by sending the data in SSL encrypted format.


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Student Online Services

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