Student Application

* are required fields

  * First Name:

  * Last Name:

  * MSU Address:

  * City:

  * State:

  * Zip:

  * Local Phone: ex. 123-456-7890

  * Email:

  Region of Origin:

  Gender: Male    Female

  MSU Major:

  Classification: Undergraduate    ESL Student

  Have you already received
a Bachelor's Degree?
Yes No

  Length of time already
in the United States:
More than 1 year Less than 1 year

  Please list any special cultural
or religious needs (dietary,
animal-related, etc.):