|
|
|
|
|
If you have used a different name while attending school,
please give that name:
|
|
|
If previously Applied for Admission to MSU, Indicate:
|
If Previously Registered at MSU, Indicate:
|
|
|
|
|
|
Ethnic/Racial Group:
Note: Even if you are Multiracial, please complete
this item by indicating either the ethnic/racial group
you identify with most of the ethnic/racial group to
which you are usually regarded in the community as
belonging.
White/Caucasian Non-Hispanic
Black/African American Non-Hispanic
Chicano/Mexican American
Hispanic
American Indian/Alaskan Native
Asian/Pacific Islander (Asian American)
Tribal Affiliation:
|
Are you MULTIRACIAL?
Yes
No
If you answer "Yes", please check the categories that
correspond to the races of your parents.
White/Caucasian Non-Hispanic
Black/African American Non-Hispanic
Chicano/Mexican American
Hispanic
American Indian/Alaskan Native
Asian/Pacific Islander (Asian American)
For purposes of this question, you are Multiracial if you
have parents from more than one of the broad race
categories listed above.
|
|
|
|
|
|
|
|
|
Permanent Mailing Address
|
|
Previous Education
|
Name of High School:
Date of High School Graduation:
Month
Year
|
If you have or will receive a Bachelor's degree or higher,
attended other colleges or universities, please enter last
school attended below and provide a degree and graduation
information.
|
|
|
|
|
Course (s) for which you wish to register
|
|
Dept. Code & Course
|
Term
|
|
|
|
|
Desired mode of participation:
|
|
How did you hear about us?
|
|
|
|
Important Information -- Please Read
|
|
For further information, contact the Office for
International Students and Scholars, 103 International
Center, Michigan State University, East Lansing, MI 48824,
(517)353-1720.
|
By submitting the provided information, I certify that I
understand the restrictions as stated, that the items
above have been filled out correctly, and I agree to
observe the rules and regulations of Michigan State
University.
|
|