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Application for Admission

To start the application process, upload a scanned ID photo, your diplomas/degrees (compress unto a zip file if more than one), and transcript. You will need to bring the original transcript when you visit Galen.

Galen University is committed to the principles of equal opportunity in education. The University does not discriminate against individuals on the basis of race, color, sex, sexual orientation, religion, disability, age, ancestry, or national or ethnic origin in the administration of its educational policies, admission policies, employment policies, and other University administered programs and activities.

* Semester *
* Specify Year (e.g. 2014) *
* Last Name *
* First Name *
* I am entering as (Check all that apply): *  
 
 
 
* For which Undergraduate Degree Program *
I. PERSONAL DATA
* Upload ID photo: *
* Email address *
* Permanent Home Address *
* Cell # *
* Home # *
Other #
* Date of Birth (MMDDYYYY) *
* Place of Birth *
* Gender *   
* Nationality *
* Country of Residence *
* Country of Origin *
* Primary Language *
II. EDUCATIONAL DATA Please list in chronological order (starting from most recent) all schools (Secondary, College, University) you have attended or are currently attending. An official or certified/attested English translation of certified transcripts or any other supporting documents must accompany this application or be received before your application will be considered.
* Upload Certificates/Diplomas (Compress to .zip if more than one): *
* Upload Transcript: *
* Institution 1 *
Institution 2
Institution 3
Institution 4
III. EVIDENCE OF PROFICIENCY IN ENGLISH Please indicate if you have ever taken any English examinations (CXC, ATLIB, ACT, SAT, or the equivalent). Attested copies of official results must be supplied, and either accompany this application or be forwarded as soon as received
(Exam Taken; Result; Date)
IV. OTHER QUALIFICATIONS Please list any other qualifications (CXC, ATLIB, ACT, SAT, or the equivalent) obtained by examination. Certified/attested copies of official results must accompany this application.
(Subject; Board or Examining Body; Grade/Result; Examination Date)
V. APPLICATION INFORMATION Please indicate the source(s) and reason(s) that led you to apply to Galen University
* Sources *  
 
 
 
 
 
 
* Reasons *  
 
 
 
 
 
VI. CERTIFICATION I have read, understand and agree to comply with Galen University application instructions. I certify that the information in this application and associated materials is current, complete, and accurate to the best of my knowledge. I understand that withholding information requested in the application or giving false information may make me ineligible for admission to or continuation in Galen University.
Confirmation Code
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Input letters in the image
The code is case-insensitive
Maximum attempts you can try: 10
 
* Required