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Undergraduate Certificate Application

Personal Information











Please Note: You must have lived in Maine, for purposes other than education, 12 consecutive months for in-state tuition. Proof of residency may be required.

Academics & Enrollment Term



Ethnicity (Optional)
If you wish to be identified with a particular ethnic group, please select the choice that most accurately describes your heritage. No information you provide will be used in a discriminatory manner.


Contact Information




Citizenship













Permanent Address
If an International address, please choose the option of "I do not have a state" in the appropriate State drop-down menu & type in 99999 in the Zip/Postal Code field.







Alternate Mailing Address
If an International address, please choose the option of "I do not have a state" in the appropriate State drop-down menu & type in 99999 in the Zip/Postal Code field.






Veteran Status



Education



High School #1
If an International address, please choose the option of "I do not have a state" in the appropriate State drop-down menu & type in 99999 in the Zip/Postal Code field.












High School #2
If an International address, please choose the option of "I do not have a state" in the appropriate State drop-down menu & type in 99999 in the Zip/Postal Code field.












High School #3
If an International address, please choose the option of "I do not have a state" in the appropriate State drop-down menu & type in 99999 in the Zip/Postal Code field.











College Credit

College Credit #1
If an International address, please choose the option of "I do not have a state" in the appropriate State drop-down menu & type in 99999 in the Zip/Postal Code field.













College Credit #2
If an International address, please choose the option of "I do not have a state" in the appropriate State drop-down menu & type in 99999 in the Zip/Postal Code field.













College Credit #3
If an International address, please choose the option of "I do not have a state" in the appropriate State drop-down menu & type in 99999 in the Zip/Postal Code field.













College Credit #4
If an International address, please choose the option of "I do not have a state" in the appropriate State drop-down menu & type in 99999 in the Zip/Postal Code field.













College Credit #5
If an International address, please choose the option of "I do not have a state" in the appropriate State drop-down menu & type in 99999 in the Zip/Postal Code field.













College Credit #6
If an International address, please choose the option of "I do not have a state" in the appropriate State drop-down menu & type in 99999 in the Zip/Postal Code field.













College Credit #7
If an International address, please choose the option of "I do not have a state" in the appropriate State drop-down menu & type in 99999 in the Zip/Postal Code field.













College Credit #8
If an International address, please choose the option of "I do not have a state" in the appropriate State drop-down menu & type in 99999 in the Zip/Postal Code field.













College Credit #9
If an International address, please choose the option of "I do not have a state" in the appropriate State drop-down menu & type in 99999 in the Zip/Postal Code field.













College Credit #10
If an International address, please choose the option of "I do not have a state" in the appropriate State drop-down menu & type in 99999 in the Zip/Postal Code field.












Credit for Prior Learning

Reverse Credit Transfer Program
Final Steps