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Midland College Student Information Form


Student Information

* indicates a required field  
*First Name:
*Last Name:
MC Student ID: (Required if changing
email address)
*Email Address: (Should we need verification of this information we will email you)
*Favorite color listed on application:
*Date of Birth: format = MMDDYYYY
H.S. Graduated from or G.E.D.:
Year of Graduation or G.E.D.:

Please select an option and provide a detailed description below

I do not have a SSN, please assign a unique student identifier.
I do not wish to provide my SSN, please assign a unique student identifier.
Need to change email address.
Checking Application Status. When did you apply?
What is your Apply Texas ID number?:
Checking Transcript Received by MC.
Checking Transcript Being Sent by MC.
Other. Please give details below.  

Please provide details here:
Please attach documentation to be submitted: (formats allowed: doc, docx, pdf, jpg, gif, png)

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