Document

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.

Required fields are marked with an asterisk (*).

Student information

First name*

Middle name

Last name*

Street*

City*

State*

Zip code*

Home phone number

Use the following format: ###-###-####

Cell phone number

Use the following format: ###-###-####

Your email address*

Use the same email address used for the application process

Parent or guardian email address

Date of birth*

Major/academic interest

Select your primary academic interest

Hispanic/Latino

Race

Check all that apply

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Academic information

What semester and year do you plan to start attending classes?

Semester of entry*

Year of entry*

Use the following format: yyyy

Complete this section only if you will 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

Human verification