Online Admissions Application
GPS Application For Re-Activation


NOTE: ALL ITEMS MUST BE FILLED IN TO SUCCESSFULLY SUBMIT AN APPLICATION

ENROLLMENT INFORMATION
Campus to which you are applying.
Select the course of study that you will pursue.
I am interested in starting: Month Year

PERSONAL INFORMATION
Social Security No.
Title Last Name First Name M.I. Jr/Sr/III Name Preference

Home Phone Cell Phone Number
Work Phone Number Is it okay to contact you at work? Yes No
Format for Phone Numbers: XXX-XXX-XXXX

E-Mail Address Work E-Mail Address
Street Address Place Of Employment
Work Address
City Work City
State Work State
Zip Code Work Zip Code
County (Ohio Residents Only)
Country Are you a citizen or permanent resident of the United States? Yes No

Gender Female Male
Marital Names Used Previously
Birth Date Birth Place
How did you hear about MVNU?

FINANCIAL AID INFORMATION
Will you complete a FAFSA to apply for a student loan or grant? Yes No
Enter your type of Veteran Benefits. Dependent Veteran None
Will you receive tuition assistance from your employer? Yes No
Are you an Ohio resident? Yes No
If you are a resident give date of Ohio residency (MM/DD/YYYY):
Were you enrolled as a full-time student in an institution of higher learning before July 2, 1984? Yes No

EDUCATION
Have you attended any schools since you last applied for or attended the Graduate and Professional Studies program? Yes No
If Yes, please list the schools in the boxes below.
Name of Institution City/State Dates Attended Degree Major

SPECIAL CIRCUMSTANCES
Have you ever been dismissed or asked to withdraw from any educational institution? Yes No
Have you ever been convicted of a felony? Yes No
If yes to either, please enter a full explanation below:
Enrollment is to complete bachelor or master degree. I understand that it is my full responsiblity to notify the Registar's Office for a final audit and verify my qualifications to participate in commencement.
Initial Here


All information is entered. GPS Office will process.