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Admissions Request for Information

  

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Information Please enter your information in the following forms.

Required - indicates a required field.
Information Please select the main reason you are interested in MU.

How Prospect Learned About Us
How I Learned About MU Banner Web Information System:MU Banner Web Information System

Information Enter your first and last name.

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

Information Enter the email address you prefer for contact information from Millersville University.

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

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

Information Select the term you would be entering Millersville University.

Prospect Entry Term
Term of Entry:Required

Information Do not enter an "Until: " date unless you are moving.

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:

Information Select the major in which you are interested.

Prospect Major
Major:

Information Enter your high school information.

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+)

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Release: 8.7.2.12