Medical Information SSLP 2018

Please upload the required documentation below.  Please note that all forms are due by July 15, 2018.  All forms must be submitted at one time, so be sure to have everything filled out and available at time of upload.  If you cannot upload your documents here, please fax them to us in full at 508-830-5077.  If faxing, please include all documents a cover page with reference of the student's name and Sea, Science, and Leadership Program, with attn: Kristen Riley.  If you have any questions, please reach out to the Massachusetts Maritime Admissions Office at 1-800-544-3411.

Below please find all required documents to be completed and submitted.  Please note that you also need to submit your immunization records and your most recent physical.  You will need to contact your physician directly for these two documents.

Student Health Form
Medication Administration Form
Emergency Care Consent Form
Parental/Guardian Questionnaire
Code of Conduct Form
Permission to Release
Image Release Form

Upload Here