1 Start 2 ROOMATE PREFERENCE 3 EMERGENCY INFORMATION 4 Complete First Name Last Name Middle Name MVSU Student ID # Permanent Mailing Address P.O. Box / Street City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Parent(s) or Guardian's Name Home Telephone Work Telephone University Issued Email Personal Email (Incoming students only) Program Band Choir Football Basketball Track Soccer Volleyball Golf Cheerleader Softball Baseball Other If Other, enter here: TERM Fall & Spring Winter Summer I Summer II
