Admissions

SSN                (required)

A correct SSN is extremely important for an accurate student file.  Please MAKE SURE YOUR SSN HAS BEEN ENTERED CORRECTLY.

First Name (required)

Middle Name

 Last Name            (required)     

  Maiden Name

Sex Male Female

Are you a veteran? Yes   No

Are you eligible for Veterans Educational Benefits? Yes   No

Date of Birth: Month 01 02 03 04 05 06 07 08 09 10 11 12 / Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / Year

Email Address      (required)

Permanent Street Address: (required)                                          
City                   (required)
State   (required)
Zip Code     (required)

County        (required)

How long at this address?    (required)

If less than 1 year, indicate address for past year:

Home Phone     (required)
Work Phone    Cell phone

 What is your racial background (OPTIONAL)

African American Asian Caucasian Hispanic Native American or Alaskan Native Other

I am applying as : First-Time Freshman  Transfer     Post Graduate Student Former MSSU Student 

College term in which you expect to enroll: (required)
Fall 20     Spring 20             Summer 20

Are you a US Citizen?    Yes No   If no, click here to complete the international application for admission.

Is English your native language? Yes  No

Do you plan to live in the residence halls? Yes   No

High School Name    
Year Graduated OR Year GED was earned (required)

What field of study are you considering? Accounting Art Biology Business Chemistry Computer-aided drafting and design Computer-assisted manufacturing technology Computer information science Criminal justice administration Dental hygiene Economics & finance Elementary education EMT Engineering Technology English Environmental health technology French German Health, promo & wellness History Industrial Engineering Technology Industrial Technology Education International business International studies Kinesiology Law enforcement Management Management technology Marketing Mass communications Mathematics Medical technology Music Nursing Paramedic Physics Political science Predentistry Pre-engineering Premedicine Pre-optometry Prepharmacy Prephysical therapy Preveterinary Psychology Radiologic technology Repiratory therapy Second education Speech communications Sociology Spanish Theatre Undecided

Have you ever attended MSSU? Yes  No 
If so, what year?

List all schools previously attended: ( high school, college or university)

Are you eligible to return to last college attended? Yes   No 
If no, which college and why:
Semester and year of suspension:

Have you been convicted of, or pled guilty to a felony:     YES NO (required)
If yes, please submit signed letter of explanation.

Have you been immunized against:  MEASLES (2 doses) RUBELLA

Parental/Guardian Information:

Father's/Guardian's Name:

Father's/Guardian's Employer:

Father's/Guardian's Home Phone:
Father's/Guardian's Work Phone:
Father's Level of Education High School Some College College Degree

Mother's Name

Mother's Employer

Mother's Home Phone
Mother's Work Phone
Mother's Level of Education High School Some college College Degree

Emergency Contact

Name   Phone

Relationship of Emergency Contact  Mother Father Sister Brother Spouse Grandparent Other

Address

City    State     Zip

Why did you choose to apply to Missouri Southern State University?

You have completed Missouri Southern's online application.  Be sure to read the following statements.

THANK YOU!

Missouri Southern State University - Joplin does not discriminate on the basis of sex, race, creed, color, national origin, disability, or age in its educational programs or activities. For further information concerning disability accessibility, contact Judy Elimelech at 417.625.9516.
Please check this box after you have read the above statement:

I certify that the information provided is complete and correct to the best of my knowledge, and that I have read the admission and transcript requirements. (PLEASE ENTER EITHER YES OR NO)   (required)

(Date submitted)       (required)