Admissions.Nondegree Copy

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APPLICATION FOR NONDEGREE ADMISSION

Nondegree- You are taking courses for personal interest or professional development or are a visiting student who intends to return to another college. Students 18 years of age or older or a high school graduate may apply under this classification. 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.

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:

Phone 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

PrevState

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.)

Gender

Male

Female

Prefer not to answer

Birthdate

Month

Day

Year

Answer Voluntary

Ethnicity (Choose One)

Hispanic or Latino

Not Hispanic of Latino

Answer Voluntary

Race: You may choose one or more.

American Indian or Alaskan Native

Asian

Black or African American

Native Hawaiian or other Pacific Islander

White or Caucasian

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

Do you have a bachelor's degree?

Yes

If 'Yes', would you like to enroll as a Nondegree Post Baccalaureate student?
In this category, you can enroll in up to a full course load with no restrictions on total hours.
(Email proof of bachelor's degree to wpadmissions@missouristate.edu.)

Yes

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