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Missouri State University–West Plains

 

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Please complete this form if you would like to look further into the educational opportunities at Missouri State University-West Plains.

Required - indicates a required field.
You are not applying for admission. This form is for inquiry only.

Prospect Name
Prefix:
First Name: Required
Middle Name:
Last Name: Required
Suffix:
Nickname:

This is sample information text for the ADDRESS1 section. Modify or delete this text by choosing the Customize a Set of Information Text option on the Web Tailor Administration menu and selecting the hwskwpro.P_WebProspectMain procedure.

Primary Address
Valid From: Month Day Year (YYYY)
Until: Month Day Year (YYYY)
Address Line 1:Required
Address Line 2:
Address Line 3:
City:Required
State or Province:
ZIP or Postal Code:
County:
Nation:
Phone Number: - (xxxxxx)-(xxxxxxxxxxxx) (xxxxxxxxxx extension)
International Access Code:

This is sample information text for the BIRTHDATE section. Modify or delete this text by choosing the Customize a Set of Information Text option on the Web Tailor Administration menu and selecting the hwskwpro.P_WebProspectMain procedure.

Prospect Birthdate
Date of Birth:Required Month Day Year (YYYY)

This is sample information text for the ENTRYTERM section. Modify or delete this text by choosing the Customize a Set of Information Text option on the Web Tailor Administration menu and selecting the hwskwpro.P_WebProspectMain procedure.

Prospect Entry Term
Term of Entry:Required

Click on the button to the right to look up your high school code. Please be patient, this process takes a few minutes.

Prospect High School
Home Schooled (check for yes):
OR
High School Code:
High School Name:
Address Line 1:
Address Line 2:
Address Line 3:
City:
State or Province:
ZIP or Postal Code:
Nation:
Graduation Date: Month Day Year (YYYY)
Class Rank and Size: / (must be numeric)
GPA: (example: 9.99, or A+)

This is sample information text for the EMAIL section. Modify or delete this text by choosing the Customize a Set of Information Text option on the Web Tailor Administration menu and selecting the hwskwpro.P_WebProspectMain procedure.

E-Mail Address
E-mail Address:
Verify E-mail Address:

This is sample information text for the GENDER section. Modify or delete this text by choosing the Customize a Set of Information Text option on the Web Tailor Administration menu and selecting the hwskwpro.P_WebProspectMain procedure.

Prospect Gender
Gender:Required Male Female Not Specified

This is sample information text for the SSNTINTFN section. Modify or delete this text by choosing the Customize a Set of Information Text option on the Web Tailor Administration menu and selecting the hwskwpro.P_WebProspectMain procedure.

Prospect SSN/TIN/TFN
U.S. Social Security Number: (999999999 or 999-99-9999)

This is sample information text for the MATERIAL section. Modify or delete this text by choosing the Customize a Set of Information Text option on the Web Tailor Administration menu and selecting the hwskwpro.P_WebProspectMain procedure.
Select from the list below the Materials you would like to receive. To select multiple materials use Ctrl+Click for PC and Command+Click for Mac.

Requested Material
Request Materials:

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Release: 8.7.2.9