Missouri Scholars Academy Nomination Form

Please make sure you have all the necessary information and materials available before entering this form. This nomination must be completed in one sitting.

Student Information

Student Legal First Name

Student Preferred First Name

Student Legal Middle Name

Student Legal Last Name

MSA will communicate exclusively via email using the student's personal email address due to complications with firewalls when using school email addresses.

Student Personal Email Address

Student Mobile Phone Number

Student Birthdate

Student Gender

Female

Male

Nonbinary

Transgender

Student Country of Citizenship

Student Permanent Resident of U.S.

Yes

Student Permanent Address

Country

Street

City

Region

Postal Code

Student Parent Information

DeleteParent _ID_
Parent Type Parent Type Father Legal Guardian Mother Step-Father Step-Mother Parent First Name Parent Last Name Parent Email

Enter another Parent

Student Academic Information

Student high school (search by school name or the city, state of the school).

Student Official High School GPA

Note: enter the highest high school GPA including weighted courses if available. Convert to a 4.0 scale if your school uses a different scale. Enter as #.##, such as 3.50, 3.95, etc.

Student IQ Test Type (optional)

Student IQ Test Score (optional)

DeleteTest Score _ID_
Student Test Scores
Enter all relevant test scores that you have access to. What test do you want to enter What test do you want to enter ACT SAT PreACT PSAT ASPIRE 2018 ASPIRE 2019 If you do not know the exact day of the month the test was taken just enter the first day of the month it was taken in. ACT Test Date ACT Test Date ACT Composite ACT English ACT Math ACT Reading ACT Science Reasoning set self-reported status set self-reported status Self Reported Verified SAT Test Date SAT Test Date SAT Total SAT EBRW SAT Math PreACT Test Date PreACT Test Date PreACT Composite PSAT Test Date PSAT Test Date PSAT Total ASPIRE Test Date ASPIRE Test Date ACT predicted composite from ASPIRE if applicable

Enter another test score

University of Missouri

Mizzou Admissions

Missouri Scholars Academy Nomination Form