Missouri Valley College - Application for Admission

GENERAL INFORMATION

*I want to start in :
*Year:
*I will enter MVC as a:
*I plan to attend as a(n):
If Readmit, what was the date you last attended MVC: (YYYY)
How did you find out about Missouri Valley College?

If other, please give information:

PERSONAL INFORMATION

*Last Name / Surname:
Middle Initial
*First Name / Given:
*Date of Birth: Month

Day

 Year
*Address / Street & Number:
*City / Town:
*State:
*Zip / Postal Code:
*HomePhone:
Cell Phone:
*Email: Provide student email, not parent's.
*Confirm 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)
Gender:
Ethnicity:
Are you Hispanic or Latino? Yes   No
Race: Please select one or more of the following:
American Indian or Alaska Native
  Asian
  Black or African American
  Native Hawaiian or Other Pacific Islander
  White
Religious Preference:

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
Other
 Comment

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:

If you haven't taken the ACT/SAT and have graduated five or more years ago, you will be required to take MVC's Placement Test for English and Math. Alternately, you may bypass the placement
testing by starting with Development Reading/English and Developmental Math. Please go to
Placement Testing for additional information.

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

By submitting this online application, I certify that all information provided in this application is accurate and complete. I understand that omitting and/or providing false information and documentation to MVC at any point of the admissions process will result in immediate permanent dismissal of my application/denied admissions/withdrawal of my scholarship award/cancellation of my I-20.


Free Application to Federal Student Aid (FAFSA)