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Contact Information

First Name

Last Name

Email Address

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Home Phone

Cell Phone

Permanent Address

Is this address outside of the U.S. or Canada?YesNo

Address

Address (cont.)

City

State/Province

Country

ZIP/Postal Code

Mailing Address

Is this address outside of the U.S. or Canada?YesNo

Mailing Address

Mailing Address (cont.)

Mailing Address City

Mailing Address State/Province

Mailing Address Country

Mailing Address ZIP/Postal Code

About you

Please note that while this section is optional, we encourage you to provide it for reporting purposes only. Thank you.

Citizenship Status

U.S. Citizen: United States citizen by birth or by naturalization. Persons who are born in the 50 states, the District of Columbia, Puerto Rico (PR), the U.S. Virgin Islands (VI), Guam (GU), and the Northern Marianna Islands (MP) are U.S. citizens.
Permanent Resident: U.S. permanent resident, with a Permanent Resident Card (formerly known as an Alien Registration Receipt Card or "Green Card”)
Non-Resident Alien/Non U.S. Citizen: A Student that will seek a U.S Visa and/or I-20 to study at Massachusetts Maritime Academy

Sex on Birth Certificate

Gender Identity MMA

American Indian or Alaska Native

(Origins in North and South America, including Central America)

YesNo

Ethnicity

Black or African American

(Origins in any of the black racial groups of Africa)

YesNo

Asian

(Origins in the Far East, Southeast Asia, or the Indian subcontinent for example Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam)

YesNo

White

(Origins in any of the original peoples of Europe, the Middle East, or North Africa)

YesNo

Native Hawaiian or Other Pacific Islander

(Origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands)

YesNo

Cape Verdean

(A person having origins in any of the original peoples of Cape Verde.)

YesNo

Are you a first generation student?

A first generation college student is defined as a student whose parent(s)/legal guardian(s) have not completed a bachelor's degree (or higher) at a four-year college or university.

YesNo

Enrollment Information

Application Type

Entry Term

Please note that the following Academic Programs are not available to students applying as Transfers in the Spring term - Marine Transportation, Marine Engineering, and Energy Systems Engineering.

Academic Program

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Contact Information

Permanent Address

Mailing Address

About you

Enrollment Information

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