Personal Details

As they appear on your passport

Birth Details

Date of Birth

Passport Details

Date of Expiration

Permanent Non-US Home Address

Primary Home Phone

Primary Mobile Phone

Applicant's Email Address

Emergency Contact

Academic Details

*Amity University and Ashoka Group of Institutions global study centers are available starting Summer 2019

English Proficiency

If you did not do your undergraduate studies at an accredited US university, which of the following English-proficiency exams have you taken?

Post-secondary Education

Start Date
End Date or Expected Graduation Date

Have you attended additional educational institutions since leaving secondary school?*

If yes, please provide transcripts with application

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 UMass Amherst as soon as possible.

Have you ever been found responsible for a disciplinary violation at any institutions of higher education you have attended, whether related to academic misconduct or behavioral misconduct, which resulted in your probation, suspension, removal, or expulsion from the institution?*

Have you ever been convicted of a felony? (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 ordered by a court to be kept confidential.)*

We will carefully review the circumstances surrounding your situation. A “Yes” answer to either question does note necessarily disqualify you from consideration for admission to the University of Massachusetts.

Sponsored Students

Will any part of your education be sponsored?*

Most Recent Work Experience

Date you started this employment
Date you completed this employment

Additional Work Experience

Date you started this employment
Date you completed this employment

Additional Information

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


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