Preferred date for visit: (Please click for calendar)
(Please schedule 5 days in advance, so we may arrange visits with coaches and faculty.)
Preferred time of visit :
First Name:
Last Name:
Mailing Address:
City:
State:
Zip Code:
Home Phone: (ex. 9999999999)
Cell Phone (optional): (ex. 9999999999)
Email:
__________________________________________________________________________________
Current High School / College Name:
Year of Graduation: (ex. 9999)
What type of student are you?

Please select the Majors and/or Pre-Professional Area that interest you.

(Majors prepare students for work in a field which they may enter upon graduation or for
graduate work in their field of choice.)


Intended Major Area(s) of Study:

1st choice:
2nd choice:


(Pre-professional programs of study require from one to four years of preparation at Midland,
followed by transfer to the professional school, which offers the specialized training.)

Optional Pre-Professional Area:


If you intend to participate in university sports, please select from the options below...
Sports (1st choice):
Sports (2nd choice):


If you intend to participate in other university activities, please select from the options below...

Fine Arts (1st choice):
Fine Arts (2nd choice):


Extra Curricular (1st choice):
Extra Curricular (2nd choice):
__________________________________________________________________________________

Yes, I want to meet with a
Coach Fine Arts Director
Please indicate the names of any family members who are MU alumni and their relationship to you in the field below.
After submitting this form, you will get an email confirming that your request was received. If you don't receive an email, please call Midland Admissions at 800-642-8382 x 6503.