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MPS Application
Please fill out the form, with as much information as possible. Once we review your application, we will send you confirmation through email that you have been cleared to register.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Student ID
*
Your answer
Email
*
Please use an email account you check regularly.
Your answer
Phone (Important, this is how we get in touch with you!)
*
Your answer
Please tell us how you learned about the program (if from a counselor please provide their names):
Your answer
Select the course you are interesting in starting.
*
Math 210 (Pre-Algebra)
Math 212 (Beginning Algebra)
Math 114 (Intermediate Algebra)
Math 10 (Statistics)
Which was your last math class and what was the grade you received in your last math class?
*
Your answer
How many times have you attempted to take this course?
*
0 times
1 time
2 times
3 or more
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