AccommodationOn campus residential accommodation is compulsory for allinternational students for their 1st year <strong>of</strong> study. Please complete theUMass <strong>Dartmouth</strong> on-campus housing application form.Airport receptionDo you require airport pick-up?Yes NoRequest for learning supportIf there is anything that may affect your learning (for exampleimpairments to your mobility, sight, hearing, reading or writing), pleasenotify <strong>Navitas</strong> at UMass <strong>Dartmouth</strong> and UMass <strong>Dartmouth</strong> so that wecan determine our ability to accommodate you. Please indicate yourneeds on a separate sheet <strong>of</strong> paper and attach to this application.Medical insurance requirementsI understand <strong>Navitas</strong> at UMass <strong>Dartmouth</strong> will provide mandatorytwelve (12) months <strong>of</strong> medical coverage upon arrival in USA. At the end<strong>of</strong> twelve (12) months I will be required to extend the initial coverage.Activities and Life ExperiencePlease list two activities that are important to you. These can be school,community or church activities, or hobbies such as sports, music ordrama.Activity:Years Involved:Activity:Years Involved:Sponsored students onlyTitle (if applicable)Title (if applicable)Type <strong>of</strong> sponsorship (ie. tuition fees and/or living expenses):Name <strong>of</strong> organization sponsoring you:Other informationHow did you first learn about <strong>Navitas</strong> at UMass <strong>Dartmouth</strong>? You may checkmore than one.Exhibition/SeminarNewspaper/MagazineRecommended by a friend/relativeRecommended by an education agentInternetOtherPlease specify:Office use onlyIdentification number:Application number:Disclaimer (for students 18 years and older)I grant <strong>Navitas</strong> at UMass <strong>Dartmouth</strong> permission to provide my parent(s),guardian(s) and agent, when requested, with any information pertaining to myapplication to study, ongoing academic progress, results and attendance.YesNoApplication checklistCheck that you have:Completed all sections <strong>of</strong> the application formRead and understood the Conditions <strong>of</strong> Enrollment including the FeeRefund Policy on the <strong>Navitas</strong> at UMass <strong>Dartmouth</strong> website:www.umd.navitas.comCheck that you have attached:Certified copies <strong>of</strong> your academic qualificationsEvidence <strong>of</strong> your English language ability if requiredA copy <strong>of</strong> your passport, Student Visa or birth certificate if requiredAny relevant employment documentation if requiredFinancial CertificateDeclarationI declare that the information I have supplied on this form with respect to myapplication to UMass <strong>Dartmouth</strong> is, to the best <strong>of</strong> my understanding and belief,complete and correct. I understand that the giving <strong>of</strong> false or incomplete informationmay lead to the refusal <strong>of</strong> my application or cancellation <strong>of</strong> enrolment. I have readand understand the published course information in the brochure or website and Ihave sufficient information about <strong>Navitas</strong> at UMass <strong>Dartmouth</strong> to enroll. I give <strong>Navitas</strong>at UMass <strong>Dartmouth</strong> permission to obtain <strong>of</strong>ficial records from an educationalinstitution attended by me. I grant <strong>Navitas</strong> at UMass <strong>Dartmouth</strong> permission toprovide UMass <strong>Dartmouth</strong> with any information pertaining to my application to study,ongoing academic progress, results and attendance for the purposes <strong>of</strong> admissionand transfer. I understand that <strong>Navitas</strong> at UMass <strong>Dartmouth</strong> and UMass Darmouthcollect, store and use personal information only for the purposes <strong>of</strong> administeringprospective, current and graduate student admissions, enrolment and education andthat the information collected is confidential and will not be disclosed to third partieswithout my consent, except to meet government, legal or other regulatory authorityrequirements (for further information consult <strong>Navitas</strong> at UMass <strong>Dartmouth</strong>’s PrivacyPolicy and UMass <strong>Dartmouth</strong>’s Access to Information and Protection <strong>of</strong> Privacy Policy).I understand that after I commence the UPP Stage II course at <strong>Navitas</strong> at UMass<strong>Dartmouth</strong>, I will need to successfully complete such course and maintain a minimumGPA before continuing my studies at UMass <strong>Dartmouth</strong>. I understand that if I haveapplied through an approved <strong>Navitas</strong> at UMass <strong>Dartmouth</strong> and/or UMass <strong>Dartmouth</strong>agent, all information contained in, or a part <strong>of</strong>, my <strong>Navitas</strong> at UMass <strong>Dartmouth</strong>and undergraduate/postgraduate application(s) may be released to the agent. Iunderstand that fees may change without notice. I accept liability for payment <strong>of</strong> allfees as explained in this brochure, and I agree to abide by the Fee Refund Policy whichis current at the time <strong>of</strong> my studies at <strong>Navitas</strong> at UMass <strong>Dartmouth</strong>. I understandthat this may be different to the Fee Refund Policy as specified. I have also read thesection on the website/brochure relating to costs <strong>of</strong> living and I understand that livingexpenses in the USA may be higher than in my own country and I confirm that I amable to meet these costs. I understand that by signing this application form, I will beeligible to receive a letter <strong>of</strong> admission from UMass <strong>Dartmouth</strong>.Applicant’s signature:Date: / / (day/month/year)If you are under 18 years <strong>of</strong> age, your parent or guardian must also signthis application form.Parent’s/Guardian’s signature:Date: / / (day/month/year)Representative’s stampPostal address for applications:Admissions Officer<strong>Navitas</strong> at UMass <strong>Dartmouth</strong><strong>University</strong> <strong>of</strong> <strong>Massachusetts</strong> <strong>Dartmouth</strong>Old Westport RoadNorth <strong>Dartmouth</strong> MA 02747-2300United States <strong>of</strong> AmericaEmail studyUSA@navitas.comwww.umd.navitas.com
Admissions RequirementsUPP Stage II ProgramThe minimum academic levels requiredfor entry to the UPP Stage II <strong>of</strong>feredby <strong>Navitas</strong> at UMass <strong>Dartmouth</strong> areoutlined at www.umd.navitas.com.Not all qualifications or countriesare listed and students with otherqualifications should send details forassessment to our Admissions <strong>of</strong>fice.Direct EntryStudents whose English test scores meetthe requirements for direct entry may begintheir UPP Stage II program.Mixed EntryStudents whose English test scores meetthe requirements for the Mixed Programmay begin their UPP Stage II program withthe addition <strong>of</strong> 1 Academic English coursetaken in the first semester <strong>of</strong> study.English Language preparationIf you do not meet the minimum Englishlanguage requirement for direct entry,you can enroll in an English languagepreparation course to improve yourEnglish language pr<strong>of</strong>iciency.Upon successful completion <strong>of</strong> theappropriate English language course at<strong>Navitas</strong>, students are eligible to progressto their academic studies with <strong>Navitas</strong>at UMass <strong>Dartmouth</strong> without any furtherEnglish tests.English languagequalificationMixed ProgramDirect entryIELTS 5.0 with no band lower than 4.5 5.5 with no band lower than 5.0TOEFL Computer/Paper/IBT173/500/61 196/525/69Enrolling in the <strong>University</strong> Pathway Program means you are an admitted student at UMass <strong>Dartmouth</strong>.UMass <strong>Dartmouth</strong>Quick Facts• US News and World Reportconsistently ranks UMass<strong>Dartmouth</strong> as the top “master’s”university in New England• UMass <strong>Dartmouth</strong>’s CharltonCollege <strong>of</strong> Business is internationallyaccredited by the highly selectiveAACSB• 88 degree choices, 9,000 students• US$20 million research enterprise• Educating students since 1895• Part <strong>of</strong> the reputed “<strong>University</strong> <strong>of</strong><strong>Massachusetts</strong> System”• More than 100 student clubs andorganizations
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