Missouri Valley College




MY MOVAL • EMAIL

Online Application





GENERAL INFORMATION

*I want to start in :
*Year:
*I will enter MVC as a:
*I am planning to live:
If Readmit please fill out the following:  
Date last attended MVC: (YYYY)

PERSONAL INFORMATION

*Last Name / Surname:
Middle Initial
*First Name / Given:
*Date of Birth:    Month                             Day                           Year 
*Gender:
*Address / Street & Number:
*City / Town:
*State:
*Zip / Postal Code:
*HomePhone:
Cell Phone:
*Email:
*Country:
*Are you a US Citizen / Legal Resident? No        Yes
*Country of Birth:
Have any of your relatives or friends attended Missouri Valley College? Yes No

If so, please give name(s) and relationship:
Have you ever been convicted of a felony? No        Yes
*If yes please explain / if no please type N/A:
The following information is requested for federal reports (optional)
Ethnicity:

SCHOLARSHIP INFORMATION

Please mark the scholarship(s) of your choice

Athletic scholarship
(STUDENT MUST BE ELIGIBLE TO PARTICIPATE IN INTERCOLLEGIATE ATHLETICS ACCORDING TO NAIA ELIGIBILITY RULES) 		Sport:
Fine Arts Scholarship      Department:
Mass Communication Scholarship  Department:
Alumni Scholarship
(FRIEND OR RELATIVE WHO HAS GRADUATED FROM MVC MUST MAKE A RECOMMENDATION FOR THE APPLICANT FOR THE ALUMNI SCHOLARSHIP)
Board of Trustees Scholarship
(MEMBER OF BOARD OF TRUSTEES MUST MAKE A RECOMMENDATION FOR THE APPLICANT FOR THE BOARD OF TRUSTEES SCHOLARSHIP) 		Board Member Name

PROGRAM INFORMATION

*I want my primary area of study/major to be in:
*Secondary Major
*Minor:

EDUCATION INFORMATION

High School (Secondary Education) - Please start with the last one attended
*Name:
*Address:
*Phone:
*Date of Graduation:                                        YEAR
*Name of Certificate / Diploma obtained:
Additional High School
Name:
Address:
Phone:
Date of Graduation:                                        YEAR
Name of Certificate / Diploma obtained:
ACT/SAT Date:
(TAKEN OR PLAN TO TAKE) 		                                       YEAR
ACT/SAT Score:
TOEFL Date:
(TAKEN OR PLAN TO TAKE) 		                                       YEAR
TOEFL Score: (Please Specify if ibt, cb, or pb)
College/University (Post Secondary)- Please start with the most recent
Name:
Address:
Phone:
Date of Graduation:                                        YEAR
Name of Certificate / Diploma obtained:
Additional College/University:
Name:
Address:
Phone:
Date of Graduation:                                        YEAR
Name of Certificate / Diploma obtained:
Eligibility Question
*Are you eligible to continue your
studies at your previous college/university?
IF HIGH SCHOOL STUDENT - SELECT YES