Refer a Student to MBU

Do you know a student that may be interested in attending MBU? Please fill out this form and give our admissions counseling office the student's contact information.

Your Information
First Name:		Last Name:
E-Mail:		Home Phone:
Relationship with Student:
Student Information Fill in as much information as possible.
First Name:		Last Name:
E-Mail:		Home Phone:
Address:
City:		State:
Zip Code:
Country:
Sex:	male female	D.O.B.
Year of H.S. Graduation:
Semester to Begin:
Type of Student:
Academic Interests:
Other Comments:

In compliance with federal law, including provisions of Title IX of the Education Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973, Missouri Baptist University does not illegally discriminate on the basis of race, gender, color, national or ethnic origin, age, disability, or military service in admissions or in the administration of its education policies, programs, and activities. Inquiries or complaints should be directed to Dr. Arlen R. Dykstra, Provost and Academic Dean.

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