Office of Admissions

Undergraduate Certificate Application

Welcome! The undergraduate certificate programs we offer at the University of Southern Maine (USM) provide you with a solid foundation in a chosen area of study and a variety of career fields. These certificates can be pursued in conjunction with a degree program or independently.

Whether you are a new or continuing student at USM, please complete this application.

We recommend reviewing the application requirements for your intended program prior to completing this application — you may need to submit additional materials. If you have any questions, the Admissions team is ready to help.

Starred fields (*) are required.

First Name

Last Name

Preferred Name

Other names under which you have applied in the past:

Verify Email

Date of Birth (mm/dd/yyyy)

Gender

If you would like the opportunity, we invite you to share more about your gender identity below.

Country

Street Address

City

State

Province

State or Province

Zip/Postal Code

Phone

Home Phone

The provided number is a:

Home PhoneCell Phone

Desired Program

Anticipated Start Term

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

What is your current U.S. Armed forces status?

Are you eligible for veteran benefits?

Have you ever been found responsible for a disciplinary violation at an educational institution you have attended from 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in your suspension, removal, dismissal or expulsion from the institution?

Have you ever been adjudicated guilty or convicted of a misdemeanor, felony, or other crime? Note that you are not required to answer "yes" to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise required by law or ordered by a court to be kept confidential.

If you answered yes to either or both questions, please provide below information that gives the approximate date of each incident and explains the circumstances. Also, please note that if you answered yes to the second question and the event happened within the last 10 years, you will need to provide court documentation.

Current Citizenship Status

Are you a Maine Resident?

Attach a Resume

Upload a digital copy of your resume, if required for your desired program.

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

By clicking Submit below, I confirm that I have completed all applicable questions on this form and I affirm accuracy of the information provided.

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Undergraduate Certificate Application

Office of Admissions

Today's Hours

Today's Hours

Portland Office

Gorham Office

Lewiston Office

Contact

Additional Navigation

Additional Navigation

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