UCM Direct Connect Application

Student Information

First Name

Last Name

Personal Email Address

Mobile Phone Number

Birthdate

Permanent Address

Country

Street

City

Region

Postal Code

What Community College Do You Plan To Attend or Currently Are Attending?

What is your upcoming term at your community college? (If this is your last term, select the current term)

When do you plan to fully transfer to UCM? (After completing your associate's degree)

Who is your academic advisor at your community college?

What program are you interested in at UCM?

Do you plan on living in UCM housing?

Yes

No

Note: To remain eligible for UCM housing, students must be enrolled in at least ONE UCM course each semester.

I am a transfer student or dual admission student and agree that the University of Central Missouri can request my official transcript from a direct connect community college partner (or any two-year college I attended in Missouri, which utilizes the National Student Clearinghouse). Transcripts will NOT be ordered for students that are currently in high school unless they are part of the Direct Connect program. I have read the third-party transcript order guidelines.

Note: You will receive notifications via email or text if we are unable to request a transcript on your behalf. Furthermore, I affirm that my electronic signature consists of my name, typed by me on the keyboard. Once I type my name, this will serves as my electronic signature.

I Agree to the Third Party Transcript Order Statement Above

Yes

No

Social Security Number (SSN is required to order transcripts)

Submitted Application Flag

Application Round

Round Always Create Flag

Generate PIN Flag

Dual Admission Student Type

Direct Connect Tag

Set Direct Connect Status Applied