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.):