When do you plan to enter McMurry University? Year 20
May term Summer I Summer II

How do you plan to enroll?

Full-time Part-time Day Classes Night Classes

Applying as: Transient

Application Fee: Include a $20 application fee made payable to McMurry University. This fee is non-refundable.

(full legal)
Last Name: First Name: Middle Name:
Suffix: jr.etc.

Preferred First Name:

If You Attended School Using a Different Name, Please List Name(s)

Social Security Number (optional)

Date of Birth (required) MM/DD/YYYY

Gender: Male Female

Place of Birth: City/State/Country

Ethnic Background: Please indicate which of the following groups best describes your ethnic background. The information will be used for federal and/or state law reporting purposes:

White, Non-Hispanic
Hispanic or Latino
American Indian or Alaskan Native
Black, Non-Hipanic
Asian or Pacific Islander

Citizenship: U.S. Permanent Resident Other

If not a U.S. citizen or permanent resident:
Country of Citizenship: Visa Type:

If not a U.S. citizen, how long have you been in the country? (years/months)

Permanent Home Mailing:
Address: Apt: County:

City: State: Zip: Country:

Phone (with area code): E-mail Address:

Permanent Phone: Cell Phone:

Emergency Contact Name: Emergency Phone:

Major (please type in the name of your first and second choices of major):

1st: 2nd:

If you plan to pursue a pre-professional program, please specify which one (e.g., pre-law, medicine, nursing, veterinary, physical therapy).

Will you seek teacher certification? Yes No

Elementary Level (Early Childhood-Grade 4) Middle School/Junior High Level (Grades 4-8)
High School Level (Grades 8-12) or All Level (Early Childhood-Grade 12)

High School Attended:

Name of High School Counselor:

Telephone (with area code):

Home-schooled: Yes No

Grades Attended at this High School: 9 10 11 12

Date Graduated or Expect to Graduate:
(Have an official transcript sent to McMurry.)

Do you plan to graduate with an IB diploma? Yes No

To determine TEXAS Grant eligibility, will you graduate from Texas public high school with the Recommended or Advanced High School Program? Yes No

If you did not graduate from high school, do you have a GED? Yes No

Please list ALL colleges or universities you have attended or are attending, including college-level correspondence study and dual credit. An official transcript from each institution attended must be sent to McMurry.

OTHER INFORMATION

Religious Affiliation

Name of Home Church: City State

Have you ever attended McMurry? Yes No

If Yes, Dates attended:

Do you plan to apply for financial aid? Yes No

Do you plan to live on campus? Yes No

(Note: Unmarried freshmen, sophomore, junior students whose legal guardian does not reside within 30 miles of McMurry are required to live on campus.)

*Important: Your application is not considered officially submitted until you print, fill out, and sign the signature page and include your application fee. Click here for Signature page.