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OUM Student Candidate Application

Welcome to the Oceania University of Medicine on-line application.

Application Fee: The application fee of $250 USD must be received before your application begins processing. Please note that $100 of the application fee will be credited to your tuition fee. See the Admissions page for payment details.

Please check that all details are correct and complete (* indicates required information). If you have difficulty completing the online application, please contact the Admissions Office.

US – 877-463-6686
Australia – 1300 665-343
NZ – 0800 99 01 01

Personal Details

Full Name

Date of Birth

I am a citizen ofyour full name

Country of birth

Visa Status

Native Language

English Language Fluency

Address

Street Address

City

State, Province

Postal Code

Country

Contact Information (include country code if outside the US or Canada)

Home

Mobile

Work

Facsimile

Emaila valid email

Employment History

Employer

Employed Fromof appointment

Employed Through

Position | Title

Employer

Employed Fromof appointment

Employed Through

Position | Title

Employer

Employed Fromof appointment

Employed Through

Position | Title

Employer

Employed Fromof appointment

Employed Through

Position | Title

Academic Details | History

MCAT Score

Date Taken | Planned Test Dateof appointment

GAMSAT Score

Date Taken | Planned Test Dateof appointment

Fellowships, Scholarships, or Other Honorsmore details

0 /

College Attended

Attended Fromof appointment

Attended Through

Degreeyour full name

Majoryour full name

GPAGPA

College Attended

Attended Fromof appointment

Attended Through

Degreeyour full name

Majoryour full name

GPAGPA

College Attended

Attended Fromof appointment

Attended Through

Degreeyour full name

Majoryour full name

GPAGPA

College Attended

Attended From

Attended Through

Degreeyour full name

Majoryour full name

GPAGPA

Letters of Recommendation will be forwarded from:

Reference Nameyour full name

Reference Titleyour full name

Phoneyour full name

Addressyour full name

Reference Nameyour full name

Reference Titleyour full name

Phoneyour full name

Addressyour full name

Reference Nameyour full name

Reference Titleyour full name

Phoneyour full name

Addressyour full name

Reference Nameyour full name

Reference Titleyour full name

Phoneyour full name

Addressyour full name

General

How did you hear of OUM (Ad, Letter, Postcard, Web, etc)your full name

Referred By (Name of Magazine, Search Engine, Person, etc)your full name

Have you Spoken with a representative from OUM?pick one!

Do you have good computer skills?pick one!

Do you own a laptop computer?pick one!

Desired Degreepick one!

Waive right to access reference informationpick one!

Starting datepick one!

Why do you want to become a Physician, and why are you considering OUM?more details

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Any other information you think might be helpful to us in making a decision.more details

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