MVC Dual Credit Application

Personal Info

Citizenship Country*
Birth Country*

Primary Address


Guardian Information

This portion of this online form is to be completed by your legal Guardian:
I Understand my child/dependent has applied for participating in course work in order to receive college credit at the price of $80.00 per credit hour including any other applicable fees. I consent to the sharing of my student's academic and financial records with school officials and acknowledge that I am responsible for payment to his/her account. I agree to the terms and conditions of policies and procedures set forth by Missouri Valley College.
Completing the following section is required by the Guardian and will act as his/her legal signature, agreeing to the statement above

Ethnic Background

Ethnic background information is requested for Federal, State and Institutional reporting purposes only. Your choice to respond is greatly appreciated but, it is optional

By signing your name below you certify that all information given on the application is complete and accurate to the best of your knowledge. You understand that the undergraduate catalog and student handbook contain all pertinent information regarding Missouri Valley College's policies and procedures. You understand that you have a continuing responsibility to keep MVC informed of information relevant to our application. The electronic submission of this form constitutes your official signature as stipulated by Missouri Valley College and the State of Missouri.
*Applicant's signature and Date fields must be filled in order to submit your application.