Former Student Returning

Personal Information

Student ID

First Name

Middle Name

Last Name

Preferred Name

Birthdate

Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Daytime Phone

Mobile Phone

Are you an international student?

Yes

No

If Yes, have you contacted International Enrollment Office about obtaining a new I-20?

Yes

No

Missouri Resident

Are you a Missouri Resident?

Yes

No

Date you became a Missouri Resident

Application Data

Term in which you plan to enroll

Last Term enrolled at Missouri S&T?

Previous status at Missouri S&T

NOTE:Students requesting a change from non-degree status to Graduate must submit a regular graduate application along Graduate Certificate with appropriate transcripts from all universities attended.

Level of certificate

Undergraduate

Graduate

Indicate your planned degree program (changes in degree program require a new graduate application):

Indicate your planned degree program (changes in degree program require a new application):

Indicate your previous academic major:

Were you involved in the XMSU (Missouri State University) program or partnership?

Yes

No

Campus

On-Campus

Online/Distance

Other

Other :

Academic Record

Have you attended any other school since leaving S&T

Yes

No

Former Student Returning

Missouri S&T Admissions Missouri University of Science and Technology