UMass Boston Undergraduate Application

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Personal Details
As they appear on your passport



Birth Details
Date of Birth

DD

MM

YYYY



Passport Details
Date of Expiration

DD

MM

YYYY

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Permanent non-U.S. home address








Address in the United States






Please enter a valid 5 digit US Zip Code.
US Mobile Phone


Primary Home Phone



Primary Mobile Phone



Applicant's Email Address

Emergency Contact











Emergency Contact Home Telephone



Emergency Contact Mobile Telephone




Academic Details

If yes, for which intake did you apply?



Select your intended major.



English Proficiency
Official exam results must be provided.

Date Taken or Scheduled

DD

MM

YYYY


Date Taken or Scheduled

DD

MM

YYYY


If you answered "Yes" to this question, please submit a copy of the English exam results with your application.


Secondary School/High School
All transcripts must be provided.



Date You Started Secondary School

DD

MM

YYYY
Date You Completed or Will Complete Secondary School

DD

MM

YYYY

If yes, please provide transcripts with application.




Date You Started Additional Schooling

DD

MM

YYYY
Date You Completed or Will Complete Additional Schooling

DD

MM

YYYY

If yes, please provide transcripts with application




Date You Started Additional Schooling

DD

MM

YYYY
Date You Completed or Will Complete Additional Schooling

DD

MM

YYYY

Gaps in Academic Record


Date you started studying English on your own

DD

MM

YYYY
Date you completed studying English on your own

DD

MM

YYYY
Date you started working

DD

MM

YYYY
Date you completed working

DD

MM

YYYY

Disciplinary History
Please note that if new circumstances alter your status at the school or in your community after you submit this application, you are required to notify the University of Massachusetts Boston as soon as possible.
If you answer "YES"to either of the questions, please upload a file that gives the approximate date of the incident(s) and explains the circumstances.
We will carefully review the circumstances surrounding the situation. A "YES" answer does not necessarily disqualify you for consideration of admission to the University of Massachusetts Boston.





Form I-20

Select “Yes” only if you are currently studying on an F1 student visa in the United States and have been issued an I-20 document from your current institution within the United States. If Yes or Yes - Expired, please provide a copy with your application materials.
I-20 End Date

DD

MM

YYYY
Dependents
Dependents are defined as spouses and/or unmarried children under 21.

Sponsored Students
Sponsored Students are defined as any students receiving sponsorships from their local governments, organizations, or agencies.




Medical Insurance Requirement

Additional Information
Your application will not be reviewed without a copy of your Academic Transcript and your Official English Assessment Score Report. Accepted students must bring original copies of all materials when arriving on campus.







Declaration
Shorelight Education is an authorized representative of UMass Boston and will be processing your admission documentation and payment to the University. 
NOTICE OF NON-DISCRIMINATION
Discrimination, harassment (including sexual misconduct), and retaliation of any type will not be tolerated at University of Massachusetts Boston. Upon notice, the University will act to end the discrimination, harassment or retaliation; prevent its recurrence; and remedy its effects on the victim and the University community. If you have any questions or concerns about discrimination, harassment (including sexual misconduct), and/or resulting retaliation, or if you need help in resolving a problem, you are strongly encouraged to contact the Title IX Coordinator.