ST. MARY'S COLLEGE OF HEALTH SCIENCES (SMCHS)

Admission Application Form

This form does not mean you have gained admission into SMCHS

Please return the filled Form to the College and keep a copy

Admission Requirements

WASSCE and SSSCE applicants must obtain credit passes, A1–C6 and A–D respectively, in three core subjects including English, Mathematics and Integrated Science/General Science and three elective subjects including Physics, Chemistry, Biology or Elective Mathematics, General Arts, Home Economics.

NB: A combination of SSSCE and WASSCE results is not acceptable. Applicant should be between the ages of 18–35 years.

Programme type: Diploma

Programme name: Registered General Nursing

Personal Details

Surname *

First Name *

Middle Name

Others

Sex *

Date of Birth *

Place of Birth *

Region *

District

Home Town *

Country *

Nationality *

Languages Spoken

Contact Information

Postal Address *

Digital Address

Email Address *

Phone Number(s) *

Other Information

Parent / Guardian / Next of Kin

Address *

Phone Number *

Educational Background

Senior High School *

Other School

School Results

i. Type of examination

Year

Subject	Grade	Interpretation

ii. Type of examination

Year

Subject	Grade	Interpretation

iii. Type of examination

Year

Subject	Grade	Interpretation

Reference

Name

Occupation

Address

Signature

Date

Applicant's Signature

Date

Fields marked with * are required