Academic Admission Requirements:
* indicates a required field.
* First: Middle:
* Permanent Street address:
City: State: * Zip:
* Current Street address:
* Home phone:
(and/or) * Cell phone:
* Email address:
* Date of birth (00/00/0000): Month: Day: Year:
* Social Security Number:
* Gender: MaleFemale
* Race: American Indian/Alaskan Native
Black or African American
* Specify Other:
Parent/Spouse name (if applicable):
* Business phone (Enter NA if none):
* In case of emergency notify: * Phone:
* Last school attended:
(Enter NA if none)
* Are you in good academic standing in the institution you are currently attending or last attended?
* Will you attend another school during the time you are attending Millsaps College this summer?
If yes, which school?
* Do you plan to attend the summer session under a Veteran's Administration Program?
Yes (If yes, be sure to talk with the VA representative, Records Office).
* Have you ever attended Millsaps College?
If yes, when?
I apply to the Summer School program for the *
The information provided above is correct to the best of my knowledge.
* REQUIRED: Check this box to digitally sign your application.
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