Missouri Southern has a one-time, non-refundable application fee.  This fee is $15.00 for FIRST-TIME applicants and $25.00 for international applications.  

Please print this form and fax the completed form to Missouri Southern's Admission Office at 417.659.4429.  This form may also be printed and mailed to:

Admission Office

Missouri Southern State College 

 3950 E. Newman Road

 Joplin, MO 64801

Student's Social Security Number _____________

Student's First Name _______________________

Student's Middle Initial _____________________

Student's Last Name _______________________

Student's Phone Number ____________________

Has student completed online application form?  _____ yes   _____ no

If so, on what date was application completed? ____________

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Please circle one:

Visa             Mastercard

Credit Card Number _______________________

Name on Credit Card _______________________

Expiration Date ____________________________

Cardholder's Signature ______________________

To return to your application page please hit your browser's BACK button.