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College of Saint Mary Physician Assistant Program Admissions Application

To submit an application to our school, please complete the following form and select Submit Application.

= Required Field

Thank you for your interest in College of Saint Mary!
An admission counselor will contact you upon receipt of your application.

In addition to this form, a completed application also requires:

  • $30.00 non-refundable application fee
  • Official transcripts from all prior institutions attended
  • References (3)
  • Resume
  • Supplemental Application form for personal statement essay, extra and co-curricular activities, medical and/or clinical experiences (shadowing, volunteering, etc.)

Personal Information

Please Use Your Full Legal Name.
Although Your Social Security Number Is Not Required, It Is Needed To Complete The Financial Aid Awarding Process.

Address Information

Please Enter Your Primary Address.

Contact Information

Please Enter Your Primary Email Address And Phone Number(s).
When Listing Your Phone Number, Please Do Not Use Dashes Or Other Punctuation..

  1. Phone Type Country Phone # (Numbers Only) Primary
Demographic Information

You Are Not Required To Provide Demographic And Ethnicity/Race Information, And Doing So Will Not Impact Consideration Of Your Application.
Information Provided Will Be Used For Reporting Purposes Only.

Ethnicity and Race Information

You Are Not Required To Provide Demographic And Ethnicity/Race Information, And Doing So Will Not Impact Consideration Of Your Application.
By Providing This Information, You Help College Of Saint Mary To Better Serve Future Applicants And Students.

  1. Are you of Hispanic/Latino ethnicity or descent? Yes No
    Select the following race that you consider yourself to be.
    American Indian or Alaska Native
    Black or African American
    Native Hawaiian or Other Pacific Islander
    Two or More Races
    NonResident Student
Expected Enrollment Plans

Please Select An Intended Program Of Study.

  1. Program
Residency Preference

First Year And Sophomore Students Under The Age Of 21 Are Required To Live On-Campus And Should Select "Resident".
If Requesting To Live With Parents Or Off-Campus, Please Select "Off-Campus".
If Over 21 And Will Be Commuting, Please Select "Commuter".

ACT/SAT Test Results

Please Enter Your Composite ACT And/Or SAT Scores.

  1. Test Type Score Date Taken
Emergency Contacts

Please Provide Information For Two People Who Can Be Contacted In Case Of Emergency.

Education History

Please list all your previous educational history. High School Transcripts Are Required.
If You Earned A GED, Please Search For And Select "GED". Official GED Scores Must Be Submitted.

Also, List All Colleges, Universities, Professional, Technical And Business Schools You Have Attended, Regardless Of Whether Credit/Degree Was Earned.
Official Transcripts Will Be Required To Complete The Application Process.

  1. Previous Schools


Family Information

If You Are A Dependent Student 25 Or Younger, Please Complete The Following For The Parent(s) Or Guardian(s) Financially Responsible For You.

How Did You Hear About Us?

Please Select A Source

Provide Names Of Three People Who Can Recommend You

Please provide the names and contact information for three references who know your abilities and work.
These should be teachers, guidance counselors, supervisors or employers.
CSM will contact them for a recommendation of you for the program.

Supplemental Application Materials (Resume/Brief Essay)

Students applying to the CSM Physician Assistant Pre-PA Track, will be reviewed on extra- and co-curricular activities, medical experiences, and/or clinical experiences. Students are also asked to submit a personal statement discussing why you want to become a Physician Assistant. Download the PA Supplemental document linked below. The system will prompt you upon submission of your application.

Supplement 1: PA Supplement

    School Policy

    To Continue, Please Read And Accept The Application Policy.

    1. Select "I accept" to confirm that you have read and fully understand the terms and conditions set forth in our Application Policy

      I do not accept I accept