SUCCEED Non-Degree Seeking Application

Personal Information

UMSL Student ID (Optional)

*Last Name

*First Name

Middle Name

Preferred Name

Social Security Number

*Birthdate

Mailing and Permanent Address

*Permanent Address

Same as *Mailing Address

Country

Street

City

Region

Postal Code

*Mailing Address

Country

Street

City

Region

Postal Code

Mobile Phone Number

Home Phone Number

*Email Address

Citizenship and Residency

*Country of Citizenship

Are you a native or naturalized citizen?

Native

Naturalized

Are you a US Permanent Resident?

Yes

No

Permanent Resident Since:

What is your current visa?

Please upload a copy of the front and back of your Permanent Resident card.

Personal Details

Sex

Are you Hispanic or Latino?

Yes

No

Regardless of your answer to the prior question, please check one or more groups for which you consider yourself a member:

Most recent institution (please make sure you select your school from the list that appears when you type):

Submit Application

By submitting this application, I indicate to the best of my knowledge the information given above is true. I understand that misrepresentation of facts on this application will be cause for cancellation of the application. I also understand that there may be other factors such as holds that may prohibit me from registering for classes or being admitted.

You also agree to receive text messages from UMSL while you are a student. You may opt out of receiving messages by texting "STOP" to any text message you receive.

Hidden Admit Type

First Time College

Hidden Area of Interest

Hidden Fall 25

[HIDDEN] Round - Undergraduate

Undergraduate

(Hidden) MyView Student Groups

Succeed

Hidden Round Always Create - Hidden

Yes

Hidden Submitted Flag - Hidden

Yes

hidden MV - Program Action

hidden Slate - Program Action

University of Missouri-St. Louis

SUCCEED Non-Degree Seeking Application

Academic Units

Administration