I would like to participate in the joint admission agreement between Northwest Missouri State University and

Which of the following will be your primary attendance location?
Select Maryville Kansas City

When do you plan to enroll at Northwest?
Term Fall Spring Summer   Year 2015 2016 2017 2018 2019

By signing below, I certify that I wish to become a participant in the Joint Admission Agreement between Northwest Missouri State University and my community college. I am aware that my participation in this agreement will continue for three years unless I request in writing to be taken out or I discontinue courses at both institutions. I understand that my participation under this agreement will require the two institutions to share my demographic information and my academic information contained in my educational records maintained by them that relate to my high school experience and/or my time as a student at either institution. Therefore, this constitutes a written consent within the meaning of FERPA to the sharing of that information. I further understand that additional documentation may be required when I decide to become a full-time student at Northwest Missouri State University.

By signing this application, I am also accepting Northwest Missouri State University’s computer policies as stated in the User’s Guide, available on the internet at www.nwmissouri.edu/compserv/clientcomputing/ComputingPolicies.htm. Acceptance of the Northwest Computer Policy is required before a computer username will be issued, to gain access to the computing services provided by Northwest.