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village application

To be eligible, a student must be between ages of 8 and 14 throughout the duration of the camp.

This form may be printed and sent with a $100 application fee via regular mail to:

Leslie Parker, Director
International Language Resource Center
Missouri Southern State University
3950 E. Newman Rd.
Joplin MO 64801 - 1595

You can also fill this form out and send it to us online by clicking the "SUBMIT APPLICATION" button below. If you choose this option, please don't forget to send your application fee to the address above. No application will be processed until the $100 application fee is received. If you have been referred by another camper, please include this information when you mail the application fee.

Villager's Name:
Mailing address: 
City: 
State:
Zip: 
Home Phone:
Email:
Date of Birth:
Gender:
Age on Arrival:
Grade(08-09):
School Name:
Parent(s) Name:
Work Phone:
Referred By:
MSSU Discount:
Yes No
Residential (9-14 yrs. old):
Day (8-14 yrs. old):


3950 E. Newman Rd. • Joplin, MO 64801 • 417-625-3109