Request for Information(* required fields)First NameMiddle NameLast NameBirthdateBirthdateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember12345678910111213141516171819202122232425262728293031202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Email AddressMailing AddressMailing AddressCountryStreetCityRegionPostal CodeMobile PhoneWhat program are you interested in at M State?AccountingAccounting ClerkAccounting Transfer PathwayAdvanced Heating, Ventilation, Air Conditioning & Refrigeration - HVAC/RAdvanced Practice EsthiologyAgribusinessAmerican Sign Language and Deaf StudiesAmerican Sign Language Pre-Interpreting ProgramAmerican Sign Language StudiesArchitectural DraftingArchitectural Drafting and DesignArt Transfer PathwayAutomotive Service TechnologyBiology Transfer PathwayBusinessBusiness AdministrationBusiness Transfer PathwayChild & Adolescent Therapeutic Behavioral HealthComputer ProgrammingConstruction ManagementCorrectional OfficerCosmetologyCosmetology (North Dakota)Criminal JusticeCybersecurityDental AssistingDental HygieneDesign and Engineering TechnologyDiesel Equipment TechnologyDigital MarketingEarly ChildhoodEarly Childhood Education Transfer PathwayElectrical Line Worker TechnologyElectrical Technology: ElectricianElementary Education Transfer PathwayEngineeringEntrepreneurialEnvironmental ScienceEstheticianEyelash Extension TechnicianFire Service PreparationGas Utility Construction and ServiceGlobal and Intercultural StudiesGraphic DesignHair TechnicianHealth Information Technology/CodingHealth Sciences Broad FieldHeating, Ventilation, Air Conditioning & Refrigeration - HVAC/RHistory Transfer PathwayHuman ResourcesIndividualized StudiesInformation TechnologyIntegrated and Professional StudiesLiberal Arts & SciencesLiberal Arts & Sciences (Social Science Emphasis)Limited Scope RadiographyMassage TherapyMedical CodingMedical Laboratory TechnologyMusicNail TechnicianNursing: Associate Degree NursingNursing: LPN to Associate Degree Nursing BridgePayroll SpecialistPhlebotomy TechnicianPlumbing TechnologyPolitical Science Transfer PathwayPost Secondary Education OptionPowerSports TechnologyPractical Nursing DiplomaPsychology Transfer PathwayRadiologic TechnologySonography-Echocardiography TechnologySport ManagementSurgical TechnologySurvey TechnicianUndecidedVisual ArtsPlease select which M State Campus you are most interested in attending.Detroit LakesFergus FallsMoorheadOnlineWadenaWhat is the name of the high school you attended?High school graduation/GED completion date:High school graduation/GED completion date:JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030203120322033203420352036203720382039204020412042204320442045Which semester do you intend to begin taking classes at M State?Spring 2024Summer 2024Fall 2024Spring 2025Summer 2025Fall 2025Spring 2026Summer 2026Fall 2026Spring 2027Summer 2027Fall 2027Spring 2028Summer 2028Fall 2028Spring 2029Summer 2029Fall 2029Prior to Fall 1997Fall 1997Spring 1998Summer 1998Fall 1998Spring 1999Summer 1999Fall 1999Spring 2000Summer 2000Fall 2000Spring 2001Summer 2001Fall 2001Spring 2002Summer 2002Fall 2002Spring 2003Summer 2003Fall 2003Spring 2004Summer 2004Fall 2004Spring 2005Summer 2005Fall 2005Spring 2006Summer 2006Fall 2006Spring 2007Summer 2007Fall 2007Spring 2008Summer 2008Fall 2008Spring 2009Summer 2009Fall 2009Spring 2010Summer 2010Fall 2010Spring 2011Summer 2011Fall 2011Spring 2012Summer 2012Fall 2012Spring 2013Summer 2013Fall 2013Spring 2014Summer 2014Fall 2014Spring 2015Summer 2015Fall 2015Spring 2016Summer 2016Fall 2016Spring 2017Summer 2017Fall 2017Spring 2018Summer 2018Fall 2018Spring 2019Summer 2019Fall 2019Spring 2020Summer 2020Fall 2020Spring 2021Summer 2021Fall 2021Spring 2022Summer 2022Fall 2022Spring 2023Summer 2023Fall 2023Are you a military veteran or are you the spouse/dependent of a military veteran?Are you a military veteran or are you the spouse/dependent of a military veteran?YesNoLet us know if you would like to receive information on the following:Let us know if you would like to receive information on the following:Accessibility Resources (IEP and 504 plan)AthleticsCareer ExplorationFinancial AidHousingStudent Life By submitting this form you are agreeing to receive text messages from M State (218-396-7282). 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