Summer Visit Day - McQueary College of Health & Human Services

Personal Information

Student First Name

Student Preferred First Name

Student Last Name

Student Date of Birth

How many guests are you bringing? (not including student)

Contact Information

Student Email Address

Student Cell Phone Number

Would you like to receive reminders about your registration and important Mo State deadlines via text message?

Yes, Go Bears!

Not at this time

By selecting no, you will not receive general text messages from us. You will still receive a reminder text for this event.

Student Mailing Address

Country

Street

City

Region

Postal Code

Student Information

Which best describes you?

Currently in high school.

Transferring from another college or university.

Previously attended Mo State.

Not in high school but attending college for the first time.

When would you like to start taking classes?

Do you consider yourself an international student?

Yes

No

This means you plan to attend Missouri State on a visa.

Academic Information

List your current or most recently attended high school.
If homeschooled, type "969999".

CEEB (hidden)

School Level (hidden)

List your current or most recently attended college or university.

CEEB (hidden)

School Level (hidden)

What would you like to study?

Secondary academic interest (if applicable)

Parent/Guardian Information

Would you like to provide parent/guardian contact information?
If provided, they will be copied on your visit communication.

Yes

No