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Names
* First Name
Middle Name
*Last Name
Previous Names
Permanent Address
* Address Line 1
Address Line 2
*City
* State
* Zip e.g. 55106
County e.g. Ramsey
Current Mailing Address (if different)
Address Line 1
Address Line 2
City
State
Zip e.g. 55106
County e.g. Ramsey
Home Phone Number ( ) -
Cell Phone Number ( ) -
* Email Address
* Confirm Email Address
*Citizen/Resident
Are you citizen of the United States? Yes No
If no, select your status :
*Years: *Months:
* I wish to register for Metropolitan State University courses because I seek:

*I wish to begin classes : Semester Year (yyyy)

Educational Experience
*
* Year Received
* Institution
* City
*State
* Country

*Have you previously attended any colleges or universities?

Institution Information (please list 3 most recent college/universities attended)

Institution 1
City
State
Country
Institution 2
City
State
Country

Institution 3
City
State
Country

*Have you attended Metropolitan State University before? 

Last attendance: Semester Year

Have you submitted an application for undergraduate admission?

Semester Year
Have you submitted an application for graduate admission?
Semester Year

 

Confidential Information *Birthdate: / / (mm/dd/yyyy)
(necessary for establishment in the registration system)

Gender:

Are you Hispanic or Latino (a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture, regardless of race)?

Racial background: (select any that apply)

Have you served in the armed forces?

Signature required by all non-degree seeking students.


*
**Note: You must sign your request by entering your name and date below.
Signature* Date* (mm/dd/yyyy)

* Metropolitan State University is asking you to provide information that includes private and/or confidential information under state and federal law. We are asking for this information in order to process your enrollment form. You are not legally required to provide the information the college/university is requesting; however, the university may not be able to effectively process your application if you do not provide sufficient information. With some exceptions, unless you consent to further release of private information, access to this information will be limited to school officials, including faculty who have legitimate educational interests in the information. Under certain circumstances, federal and state laws authorize release of private information without your consent.

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