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Mississippi Valley State University

New Student Contact Information

The information requested will be used for notifying you in the midst of an emergency on campus or in the immediate vicinity.
Please remember to include your cell phone carrier.

Please fill out the information below. It is vital that we receive the most up to date information for you to ensure message delivery in an emergency.
* Term
* First Name
* Last Name
* School Level
* Class Level
* Gender
Phone Number #1
* Phone Number
Example: 205-752-5050
 
Please indicate extension, if applicable.
*
Please indicate phone type.
 
If cell, please indicate carrier
Phone Number #2
  Phone Number
Example: 205-752-5050
 
Please indicate extension, if applicable.
*
Please indicate phone type.
 
If cell, please indicate carrier
Phone Number #3
  Phone Number
Example: 205-752-5050
 
Please indicate extension, if applicable.
 
Please indicate phone type.
 
If cell, please indicate carrier
Phone Number #4
  Phone Number
Example: 205-752-5050
 
Please indicate extension, if applicable.
 
Please indicate phone type.
 
If cell, please indicate carrier
Additional Communication Methods
* Primary E-mail Address
  Alternate E-mail Address
Primary Address
* Street Address
  Apt. Number
* City
* State
* Zip Code
Secondary Address
  Street Address
  Apt. Number
  City
  State
  Zip Code
Comments
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