Mount Vernon Nazarene University

Student Information

Student Category Key:
Trad: Current or previously enrolled traditional MVNU student.
GPS: Current or previously enrolled Graduate or Professional studies MVNU student.
New: Applied or accepted for traditional program for fall 2019.
Guest: Guest student (no plans to enroll in degree program).
CCP: College Credit Plus student.

Student Category: *

Student’s First Name: *

Student’s Last Name: *

MVNU/Guest Student
ID Number: *

Guest students: include SSN if you don't have an MVNU ID number.

Birth Date: *

Address: *

City, State, Zip: *

Phone: *

Email: *

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Phone: *

E-mail: *

A receipt will be e-mailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *