Thank you for your interest in our Student Support Services program at Murray State University!  Please complete this application as thoroughly as possible.  You cannot save and restart this application.  You may want to review the included items, take some time to make notes and gather the required documents, and then return to submit your application.  If you have any questions, please call our office at (270) 809-4327.

General Information:
Last Name: *
First Name: *
Middle Name:
Date of Birth: *

Are you a U.S. citizen or permanent resident?

(CFR 646.30: a citizen or national of the United States or meets the residency requirements for Federal student financial assistance.)

U.S. Citizen? *
Address: *
Address 2:
City: *
State: *
Zip Code: *
Home Phone
Cell Phone Number:
Email Address:
Describe your primary reason for applying: *

Academic Info:
Current Grade Level: *
How many classes are you taking?
Current GPA:
How's your academic standing?

Family Information:
Parents Educational Level:
How many people in your household at home?
Family TAXABLE Income Range:
Most Recent IRS 1040

Sign and Submit:
Applicant Signature *
Please select a signature verification type.
Terms of Submission:
By submitting this application, you acknowledge that all of the above information is correct and accurate to the best of your understanding.