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Undergraduate Prerequisite Course Registration
Fall 2019


Name and Contact Information


Permanent Address


Personal Information

Gender *

Are you a citizen or permanent resident of the U.S.? *

Please note that student visas are not issued for those completing prerequisite courses.


Ethnic Information

Which of the following best describes your race? *

Check one or more races


Military Status

Are you currently active duty, a veteran, a member of the National Guard,
or a Reservist in the US Armed Forces?

If yes, please specify status


Emergency Contact Information

Person to notify in case of an emergency


*** Please note: You must have completed anatomy and physiology prior to taking pharmacology and/or pathophysiology at SMU ***



Class Choice

I want to register for: *


Application Fee Payment

Application Fee: $50.00

MasterCard and Visa only

Visa and MasterCard logos

Payment information through SMU TrustCommerce will be entered on the next screen.


Our Commitment to Your Rights

We are committed to your rights as a student and as an applicant to Samuel Merritt University. Therefore, we take seriously and adhere to the following policies:

Non-Discriminiation Policy
Samuel Merritt University does not discriminate on the basis of sex, age, race, color, ethnic or national origin, handicap, religon, marital status, sexual orientation or status as a Vietnam-era veteran in the administration of employment, admission, financial aid, athletic or educational programs.

Family Educational Rights and Privacy Act of 1974
FERPA, or the Buckley Amendment, is a federal law designed to protect the privacy of a student's educational record. Without specific, written permission from you, the applicant to Samuel Merritt University, we will not discuss your application for admission with any other individual, except as provided within this Act.


Affirmation of Agreement

Your affirmation of agreement below indicates that your statements are true and complete to the best of your knowledge. Any misrepresentation or omission may be considered sufficient reason for refusal of this application or dismissal from class.

Please note: if you are applying with a Gmail email address, be sure to check your SPAM folder if you don't hear back from SMU 2-3 weeks after submitting an application.


By clicking next, I understand that the Samuel Merritt University Registrar's Office will register me for this/these course/courses.


* denotes a required field.