Graduate Studies at Murray State University

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Murray State University requests this information for the purpose of mailing information to you and to create a record of your interest. This information will not be shared with anyonr outside the university.

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Name
Address

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Country
ZIP or Postal Code
Email	Please make certain this address is where you regularly receive email.



Date of birth	Last 4 digits of Social Security Number
Telephone	( ) (Area Code) Phone Number
Race/Ethnicity

University where you received you bachelor degree
Year degree awarded	Undergraduate Major
Have you ever attended MSU?	Yes No	Did you receive a degree from MSU?	Yes No
		If Yes, year degree was awarded
Academic interest in graduate school [Area(s) or interest]
Anticipated enrollment at MSU



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