Request for Information(* required fields)First NameMiddle NameLast NameBirthdateBirthdateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember12345678910111213141516171819202122232425262728293031202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Email AddressMailing AddressMailing AddressCountryStreetCityRegionPostal CodeMobile PhoneWhat program are you interested in at M State?Accounting Clerk-DiplomaAccounting Transfer Pathway-ASAccounting-AASAdvanced HVAC/R - Heating, Ventilation, Air Conditioning & Refrigeration-DiplomaAdvanced Practice Esthiology-CertificateAdvanced Practice Esthiology-DiplomaAgribusiness-AASAmerican Sign Language and Deaf Studies-CertificateAmerican Sign Language Pre-Interpreting Program-ASAmerican Sign Language Studies-DiplomaArchitectural Drafting and Design-AASArchitectural Drafting-DiplomaArt Transfer Pathway-AFAAutomotive Service Technology-AASAutomotive Service Technology-DiplomaBiology Transfer Pathway-ASBusiness Administration-DiplomaBusiness Transfer Pathway-ASBusiness-AASChild & Adolescent Therapeutic Behavioral Health-CertificateComputer Programming-AASConstruction Management-AASCorrectional Officer-CertificateCosmetology-DiplomaCriminal Justice-ASCybersecurity-AASCybersecurity-CertificateDental Assisting-AASDental Assisting-DiplomaDental Hygiene-AASDesign and Engineering Technology-AASDesign and Engineering Technology-CertificateDiesel Equipment Technology-AASDiesel Equipment Technology-DiplomaDigital Marketing-AASEarly Childhood Education Transfer Pathway-ASEarly Childhood-CertificateElectrical Line Worker Technology-AASElectrical Line Worker Technology-DiplomaElectrical Technology: Electrician-DiplomaElementary Education Transfer Pathway-ASEngineering-ASEntrepreneurial-CertificateEnvironmental Science-ASEsthetician-CertificateGlobal and Intercultural Studies-CertificateGraphic Design-CertificateGraphic Design-DiplomaHair Technician-DiplomaHealth Information Technology/Coding-AASHealth Sciences Broad Field-ASHistory Transfer Pathway-AAHuman Resources-AASHuman Resources-ASHuman Resources-CertificateHVAC/R - Heating, Ventilation, Air Conditioning & Refrigeration-DiplomaInformation Technology-AASInformation Technology-ASIntegrated and Professional Studies-AASLiberal Arts & Sciences (Social Science Emphasis)-AALiberal Arts & Sciences-AALimited Scope Radiography-DiplomaMassage Therapy-DiplomaMedical Coding-DiplomaMedical Laboratory Technician-AASMusic-AFANail Technician-CertificateNursing: Associate Degree Nursing-ASNursing: LPN to Associate Degree Nursing Bridge-ASPayroll Specialist-DiplomaPhlebotomy Technician-CertificatePlumbing Technology-DiplomaPolitical Science Transfer Pathway-AAPost Secondary Education OptionPowerSports Technology-AASPowerSports Technology-CertificatePowerSports Technology-DiplomaPractical Nursing-DiplomaPsychology Transfer Pathway-AARadiologic Technology-AASSonography-Echocardiography Technology-AASSport Management-AASSurgical Technology-AASSurvey Technician-CertificateUndecidedVisual Arts-CertificatePlease 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?Fall 2025Spring 2026Summer 2026Fall 2026Spring 2027Summer 2027Fall 2027Spring 2028Summer 2028Fall 2028Spring 2029Summer 2029Fall 2029Are 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). To opt out, reply STOP to any message received. To resume receiving texts, reply START. Message frequency may vary. Standard Message and Data Rates may apply. Reply HELP for help M State Text Messaging PolicyMother's Maiden NameSubmit