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  • SMART Program Application

Office of Diversity & Inclusion

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  • 2013 SMART Program Application

    Name:
    Address:
    City:
    State:
    Zip Code:
    Home Phone: XXX-XXX-XXXX
    Mobile Phone: XXX-XXX-XXXX
    Parent's/Guardian's Name(s):
    Email:
    Date of Birth: (mm/dd/yyyy)
    High School:
    Have you been admitted to MSU Moorhead?
        

    List intended major (if known) or undeclared:
    Have you completed the 2013 FAFSA?
         

    Gender:
        

    Ethnicity (check all that apply):
        
    Are you a U.S. citizen?
        

    Are you a permanent resident of the U.S.?
        

    List any disabilities or special needs:


    • Complete this application by June 1, 2013
    • A meeting will be schedule with the Office of Diversity and Inclusion
    • Considerable emphasis will be placed on the interview
    • Students will be notified by July 1, 2013

    For questions please contact us at:
    Minnesota State University Moorhead
    Office of Diversity & Inclusion
    Phone: 218.477.2652
    Email: diversity@mnstate.edu