Sample form: Request Information

To request information, please complete and submit the following form. You may also request information by contacting the Admissions Office at info@missouristate.edu or call 800-492-7900 or 417-836-5517.

Student Information

First name *

Last name *

Street *

City *

State *

Zip code *

Cell phone number

Your email address *

Parent or guardian email address

Date of birth *

Major or academic interest Select your primary academic interest.

Hispanic/Latino

Yes

Race

Check all that apply.

Academic information

Semester of entry What semester and year do you plan to start classes?

Year of Entry * Use the following format yyyy

Complete this section only if you enter as a freshman

High school name

ACT composite score

SAT verbal/math combined score

Complete this section only if you will enter as a transfer student

Name of college currently attending