ADMISSIONS APPLICATION

Gender *
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Do you have educational records under any other name? *
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English is my first language. *
How will you meet the English language requirement?
Are you a U.S. citizen? *
Are you a veteran of the United States military? *
Choose all payment options you intend to utilize:

QUALIFYING EDUCATION

Where did you receive your Bachelor's degree?
Where did you receive your Master's degree?

NOTICE OF NONDISCRIMINATION

A.T. Still University (ATSU) does not discriminate on the basis of race, color, religion, ethnicity, national origin, sex (including pregnancy), gender, sexual orientation, gender identity, age, disability, or veteran status in admission or access to, or treatment or employment in its programs and activities. Dating violence, domestic violence, sexual assault (e.g., non-consensual sexual contact/intercourse), stalking, harassment, and retaliation are forms of discrimination prohibited by ATSU. Any person with questions concerning ATSU's nondiscrimination policies is directed to contact:

• Missouri campus – Lori Haxton, Vice President for Student Affairs (660.626.2236lhaxton@atsu.edu), 800 W. Jefferson St., Kirksville, MO 63501

• Arizona campus – Beth Poppre, Associate Vice President for Student Affairs (480.219.6026bpoppre@atsu.edu), 5850 E. Still Circle, Mesa, AZ 85206

Any person with questions concerning ATSU's Title IX compliance is directed to contact:

• Joe Vincent, Title IX Coordinator (660.626.2113jvincent@atsu.edu), 800 West Jefferson St., Kirksville, MO 63501

In compliance with the Clery Act and Section 86 of DOE regulations, the University makes available to all prospective students, admitted students, and current students: ATSU's Annual Security and Fire Safety Report (ASR) and Drug and Alcohol Abuse Prevention Program (DAAPP). The ASR may be found online at atsu.edu/asr or atsu.edu/security. The DAAPP may be found online at atsu.edu/daapp. Printed copies for each report may be requested from mostudentaffairs@atsu.edu.
 
Please note: All communications via email, video conferences, and/or telephone may be monitored or recorded for quality assurance and training purposes.

NON-REFUNDABLE APPLICATION FEE

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Application fee (US $70.00) *