Office of Admissions

P.O. Box 172190

Bozeman, MT 59717-2190
APPLICATION FILE CREATED FOR:
Thank you for submitting your Leaders Edge Application to Montana State University. Here is
a quick checklist of steps to take right now to ensure that you receive our fastest admission and
scholarship decisions
STEP 1: Save this file to your desktop and print a copy for your records.
This packet contains this checklist and your submitted application.
STEP 2: Pay the $36 application fee.
If you have not yet paid your application fee, log in at
www.msuadmissions.org/apply to pay securely online. If you prefer
to pay by mail, please submit your $36 check, made payable to
Montana State University, to the address above.

STEP 3: Make sure Montana State University receives your test scores.
Request your test scores from the appropriate testing service today. For your
ACT scores, go to http://www.actstudent.org/scores/send/ our code is 2420.
For your SAT scores, go to http://sat.collegeboard.org/scores/send-sat-scores
our code is 4488.
STEP 4: Ask your guidance counselor to submit your final transcript.
Wed like a record of your final senior-year grades after graduation.
Please ask your guidance counselor to send your official transcript and
graduation date directly to the Office of Admissions.
Thanks again for applying. We look forward to sending your admission decision!
Ronda Russell
Director of Admissions
Montana State University
P.O. Box 172190
Bozeman, MT 59717-2190
P.S. If you have any questions or would like to visit the Montana State University campus,
please call us at 1-888-MSU-CATS or e-mail us at admissions@montana.edu.
Jacob,
Jacob Inger
Has either parent (or guardian) with whom you
reside earned a degree from Montana State
University in Bozeman?
Gender
Country of Citizenship
Birth City
05/ / 08 1997 Birth Date
Parent's E-mail Address
E-mail
I give permission to Montana State University to send me important updates via text messaging. (Standard message
charges apply.)
[]
207- - 939 1956 Cell Phone
-- Phone
Country
ZIP/Postal Code
State/Province
City
Apt. #
Address
-- Social Security Number
Last Name
Middle Name
First Name
Montana State University - Leader's Edge Application
Full Legal Name
Jacob
R
Inger
We ask that you voluntarily provide this number, which permits MSU to distinguish between individuals of the same or similar
names. This is especially important should you request a transcript at a later date or wish to be considered for financial aid.
Contact Information
Note: This is where all mail will go, so please keep us updated if your address changes.
59 Glen Rd

Yarmouth
Maine
04096-8136
United States
y2015jacing@yarmouthschools.org
(We will be communicating with you via e-mail.)
inger5@mac.com
Seattle, Washington
United States
Optional Information
Male
No
Please indicate whether you are:
Is this high school accredited by your state
department/office of education or by a regional
association?
Please enter your GPA as calculated on a
4-point scale. Example: 3.47
In a Class of
High School Class Rank
207- - 846 5535 High School Phone Number
05/2015 (Expected) High School Graduation Date
Country
ZIP/Postal Code
State/Province
City
Address
Name
Please indicate whether you have received, or
will receive, a high school diploma or a High
School Equivalency Test diploma.
Enroll Term
Other
[]
Race/Ethnicity Unknown
[]
White
[X]
Native Hawaiian or Other Pacific Islander
[]
Black or African American
[]
Asian
[]
American Indian or Alaska Native
[]
Not Hispanic or Latino
Please indicate all races that apply among the following:
If you have a disability for which accommodations may be necessary, please submit a confidential written request for disability
accommodations to the Montana State University Office of Disability, Re-Entry and Veteran Services, P.O. Box 173960,
Montana State University, Bozeman, MT 59717-3960, fax 406-994-3943. Written documentation of your disability is usually
required. A brochure documenting requirements may be obtained from the Office of Disability, Re-Entry and Veteran Services.
No qualified student with a disability shall, on the basis of disability, be excluded from participation in, be denied the benefits of,
or otherwise be subjected to discrimination under any MSU-Bozeman program or activity.
Academic History
FALL 2015
High school
Yarmouth High School
286 WEST ELM STREET
YARMOUTH
ME
04096-1296
USA
N/A
125
3.45
Yes
Counselor Contact Information
Writing Subscore
Combined English/Writing
Science
Reading
Math
English
/ Date Taken/Will Be Taken
Writing Essay Subscore
Writing
Math
Critical Reading
10/2015 Date Taken/Will Be Taken
Have you completed, or will you be completing,
a college preparatory program required by your
state?
Credits Earned/Degree Earned
/ To
/ From
Country
ZIP/Postal Code
State/Province
City
Address
Name
Please indicate your area of academic interest.
Counselor's E-mail
Counselor's Last Name
Counselor's First Name
Please provide the following information about your high school counselor.
Brenda
Brenda Michaelsen
brenda_michaelsen@yarmouthschools.org
Chemistry - Professional Option
If you have attended or are attending a college or university, please provide the following information for each institution,
whether or not credit was earned. Please list the most recent institution where credit was earned or attempted first.

Verification of College Preparatory Program

Yes
SAT

ACT

Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Composite Score

Your application will not be complete until we receive official test scores from the testing agency.
Self-Report
We'd like to know what courses you've taken during high school. Below, please list the classes you have taken in each of the
areas. Don't be concerned if you've taken more classes than you are able to include on this form. When we receive your official
high school transcripts after graduation, we will update your information.
Your application will not be considered complete until you fill out this self-report.
English: Include courses such as Written and Oral Communications and Literature.
9th Grade
1st Semester
Honors Freshman English
89
2nd Semester
Honors Freshman English
88
3rd Semester

10th Grade
1st Semester
Honors Sophomore English
90
2nd Semester
Honors Sophomore English
91
3rd Semester

11th Grade
1st Semester
Honors Junior English
92
2nd Semester
Honors Junior English
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
88
3rd Semester

Mathematics: Include courses such as Algebra I & II, Geometry and Calculus.
9th Grade
1st Semester
Honors Math I
91
2nd Semester
Honors Math I
93
3rd Semester

10th Grade
1st Semester
Honors Math II
93
2nd Semester
Honors Math II
89
3rd Semester

11th Grade
1st Semester
Honors Math III
86
2nd Semester
Honors Math III
85
3rd Semester

Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Social Studies: Include courses such as World Studies, American History and Government, Economics, Psychology, Sociology
or other third-year courses.
9th Grade
1st Semester
Honors World to 1600
88
2nd Semester
Honors World to 1600
87
3rd Semester

10th Grade
1st Semester
CP Modern History
90
2nd Semester
CP Modern History
91
3rd Semester

11th Grade
1st Semester
CP American History
94
2nd Semester
CP American History
89
3rd Semester

Laboratory Science: Include courses such as Earth Science, Biology, Chemistry and Physics.
9th Grade
1st Semester
Additional Grade
Additional Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course
Grade
Course Honors Physical Science
96
2nd Semester
Honors Physical Science
95
3rd Semester

10th Grade
1st Semester
Honors Biology
93
2nd Semester
Honors Biology
88
3rd Semester

11th Grade
1st Semester
AP Chemistry w/Lab
79
2nd Semester
AP Chemistry w/Lab
85
3rd Semester

Other: Include courses such as Foreign Language, Computer Science, Visual/Performing Arts and Vocational Education.
9th Grade
1st Semester
Art Fundamentals
91
Spanish II
87
2nd Semester
Course
Additional Grade
Additional Course
Grade
Course
Additional Grade
Additional Course
Grade
Course
Additional Grade
Additional Course
Grade
Course
Additional Grade
Additional Course
Grade
Course
Additional Grade
Additional Course
Grade
Course
Additional Grade
Additional Course
Grade
Course
Additional Grade
Additional Course
Grade
Course
Spanish II
87

3rd Semester

10th Grade
1st Semester
Spanish III
88

2nd Semester
Spanish III
86
Guitar
94
3rd Semester

11th Grade
1st Semester
Honors Spanish IV
87
AP Statistics
91
2nd Semester
Honors Spanish IV
83
AP Statistics
90
3rd Semester

Have you ever been required to register as a

sexual or violent offender?
Have you ever been disciplined by, suspended
from, or placed on probation at any educational
institution for nonacademic reasons?
Have you ever been subjected to court-ordered
confinement for threatening or causing physical
or emotional injury to person or property?
Have you ever been convicted of a felony
(please include instances of deferred
sentencing)?
Additional Grade
Additional Course
Grade

You're almost finished, Jacob!

After you hit the Submit button below, you will be able to:
Save your application to your desktop and print a copy for your records.
Pay your $36 application fee.
Make sure MSU receives your test scores.
Ask your guidance counselor to submit your final transcript.
This application is nonbinding; submission does not represent a commitment to attend MSU.
Required Safety and Security Information
All applicants must provide answers in this section.
No
A felony under Montana State law is defined as a crime for which more than one year in prison may be imposed.
No
No
Suspension is defined as a sanction imposed for disciplinary reasons that results in a student leaving school for a specified time
period. Dismissal from a college for disciplinary reasons is defined as permanent separation from an institution of higher
education on the basis of conduct or behavior.
No
An affirmative response to any of these questions will not automatically prevent admission, but you will be asked by the
university to provide additional information. This information will be reviewed by a campus committee to ensure campus safety.
Any falsification or omission of data may result in a denial of admission or dismissal.
Application Fee
Remember: Your application fee of $36 is due when your application is submitted. Your application will not be nonrefundable
processed until this fee has been received.
The application fee cannot be waived.
A mark in this box serves as my signature and represents my agreement to the above statements.
[X]
I will pay my $36 application fee: Online
Legal Agreement
This application for admission is not binding.
I hereby certify that, to the best of my knowledge, the information I am submitting is true and complete without evasion or
misrepresentation. I understand that if it is later found otherwise, it is sufficient cause for rejection or dismissal. If my application
for admission is approved, I agree to abide by the present and future rules and regulations, both academic and nonacademic,
and the scholastic standards of Montana State University, its colleges, schools, departments and institutes, including, but not
limited to, those rules, regulations and standards stated in the undergraduate/graduate catalog. I further acknowledge that if I fail
to adhere to these regulations or meet these requirements, my registration may be canceled.
If I enroll at Montana State University, I agree to pay all tuition, fees, fines and debts to the university that I may incur. I
understand that MSU will take action against me to collect any unpaid debts, including withholding of registration and transcripts
and assignment of the debt for collection, and I will be responsible to pay any costs incurred to collect the debt.
If I fail to pay any tuition or fees when due, I understand the university will treat any unpaid amount as an educational loan
extended to finance my education.
I grant my high school permission to release my transcript to Montana State University.
The information you submit will remain private on our secure server and won't be reviewed until you're completely finished. Once
we receive your application, we will send you a confirmation e-mail.
Now you're all done ... click "SUBMIT APPLICATION."