VESTA Application 2024

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VESTA

APPLICATION FOR ADMISSION

Legal Name (As it appears on driver's license or government-issued identification)

Last

First

Middle

Maiden/former or any other name used on academic records

Preferred Name/Nickname

Social Security Number

Disclosure of your social security number is voluntary. If you provide your number, it will not appear on your student identification card. It is necessary for some University departments, including Financial Aid.

Address:

City:

State:

Zip:

Phone Number:

Check Type

Email Address

Legal Residence

City

County

State

If you are a Missouri resident, how long have you lived in Missouri?

More than one year

One year or less

If one year or less, indicate when you moved to Missouri

Month

Year

Previous State

Are you a United States citizen?

Yes

If no, are you a permanent resident?

Yes

(If you are permanent resident, please email a copy of the front and back of your alien registration receipt card to wpadmissions@missouristate.edu.)

If you are not a U.S. citizen, please select country of citizenship.

Country

Do you plan to take MSU-WP classes external to the United States?

Yes

Gender

Male

Female

Prefer not to answer

Birthdate

Month

Day

Year

Did either of your parents complete a bachelor's degree?

Yes

Do not know/Prefer not to answer

What is your anticipated United States Military status during the semester for which you are applying?

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Race

Marital Status

Single

Married

Emergency Contact

Last Name

First Name

Relationship

Address:

City:

State:

Zip:

Phone Number:

Check Type

Have you ever been convicted of or pled guilty to a crime other than a traffic offense or are any charges pending against you or have you been dismissed/suspended from another college or university for disciplinary reasons?

Yes

If yes, please explain in detail. If you have a felony conviction, include the nature of the conviction and probation/parole status.

Semester for which you wish to begin:

Fall (August)

Spring (January)

Summer (June)

Year

Have you previously attended Missouri State University (West Plains or Springfield)?

Yes

If yes, list last attendance:

Semester

Year

If yes, have you attended another college since your last attendance?

Yes

Do you plan to seek a certificate or degree?

`Yes

If yes, select

Note that all previous college transcripts are required. List below and request official transcripts be sent from all insitutions in which you registered even if you withdrew or did not complete the semester.This includes college credit earned while in high school. Failure to list all colleges is considered falsification of records and may void your admission. Students with fewer than 24 transferable hours must also request a high school transcript or High School Equivalency (HiSET, GED or other HSE). Official transcripts must be sent from the issuing institution directly to Missouri State University-West Plains through email, mail or an electronic transcript service (e.g. Parchment, National Student Clearinghouse, etc.).

If you are not seeking a certificate or degree and are taking courses for personal interest or professional development or are a visiting student who intends to return to another college, transcripts are not required. Enrollment while in this category is limited to eight credit hours per semester to a total of 24 hours. Students are not eligible for financial aid while in this classification. Nondegree students must meet class prerequisites.

High School

City:

State:

Zip:

Month and Year of Graduation

Are you participating in or did you complete the A+ Program in a MO high school?

Yes

GED/HiSet/High School Equivalency

Month and Year Tested

State in which you tested

Have you taken courses for college credit?

Yes

Official transcripts must be sent from the issuing institution directly to Missouri State University-West Plains through email, mail or an electronic transcript service (e.g. Parchment, National Student Clearinghouse, etc.).

College/University

Do not abbreviate

City and State

Dates Attended

Month and Year

Approximate number

of hours earned

Do you have a bachelor's degree?

Yes

Post Baccalaureate students who are not seeking a certificate or degree can enroll in up to a full course load with no restrictions on total hours if proof of bachelor's degree is provided. A copy of diploma or transcript can be emailed to wp.missouristate.edu.

If you have a disability which requires accommodation, please contact Disability Support Officer, 128 Garfield Avenue, West Plains, MO 65775, (417) 255-8062 for information about services available to you.

Acknowledgements

Release of Information

By clicking the checkbox, I certify that I have provided complete and accurate responses to all the items on this application. I authorize Missouri State University-West Plains to verify the accuracy of any information or records I have provided and understand that any misrepresentation or omission may be cause for deniall or cancellation of admssion, and/or enrollment with loss of fees or tuition paid.

I agree

Consent for Use of Personal Information

During the application and admission process, you will be asked to enter personal information. Examples include legal name, chosen name, date of birth, and social security number. Missouri State University-West Plains collects this information to enroll you into the university and to comply with federal and state law. Unless required by law or authorized by university policy, Missouri State University-West Plains will not share your personal information. Any sensitive information, including past disciplinary or criminal actions, are used only for admission purposes. By checking below, you are giving consent for Missouri State University-West Plains to use the data you provide for admission purposes.

I agree

Missouri State University is an equal opportunity/affirmative action institution. We encourage applications from all academically qualified people interested in educational opportunities, regardless of the applicant’s race, ethnicity, sex, veteran’s status, disability, sexual orientation, or gender identity.

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