To ensure proper follow up, please complete all (*) requested areas.

 
Personal Information
First Name:*  
Last Name:*  
Email:*  
Gender:*
DOB:*  
Citizenship:*
U.S. Citizen Non-Citizen
U.S. Permanent Resident
 
Mailing Address
Street Address:*  
City:*  
State:*  
Postal Code:*  
Phone:*  
 
Educational Information
I will be applying as:
Freshman Transfer Student
Do you plan on applying to MEC as an F1 Visa holder?
Yes No
I will be applying for the:
Fall Spring
Year:  
High School Attended or Currently Attended:  
Graduation Date:  
GED:
Date Received:  
Primary Academic Interest:*
Secondary Interest:
I am a Varsity Athlete interested in:
(Select all that apply)
 
How Did You Hear About MEC?

 

If you are a transfer student, what school(s) did you transfer from?

(1)
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Comments or Questions?