Dual Degree Cohort Program in Houston, MO

Personal Information

Emergency Contact

Application Status

Academic History

Have official transcripts for high school or GED scores, colleges, universities, and vocational schools attended sent directly to Cohort Manager, Houston Cohort Dual Degree Program: Drury University, 900 North Benton Ave., Bay Hall CCPS, Springfield, MO 65802. Please list all colleges, universities, and vocational schools attended. Attach additional list if needed.

By signing this application form, the student agrees to allow Cox College and Drury University to share these transcripts.

Civil or Academic Discipline

Background Check

A criminal background check will be performed once accepted. By signing this application, you are authorizing Drury University Cox College to complete this admission requirement. Please complete the following information for each state of residence.

All applicants to Cox College are hereby notified that the Missouri State Board of Nursing may refuse to allow a graduate to take the NCLEX-RN or to issue a license for specific reasons related to moral turpitude, intemperate use of alcohol or drugs, or conviction of a crime. (See Section 335.066, RSMo of the Missouri Nursing Practice Act.)

Demographic Information

This information is confidential. It is not used in admission decisions and will not be released except as group statistics for federal, state, and other reports. Questions regarding gender, race, and marriage status are important in determining the effectiveness of efforts related to the provision of equal educational opportunity. The providing of this information is optional and your answers will not be used in determining admission status.

Employment Status

I affirm that all information supplied is complete and accurate. I understand that any misrepresentation or change of facts could be cause for refusal of admission, cancellation of admission, or suspension from the College. I authorize all educational institutions I have attended to release transcripts or other information relevant to the application to Drury University and Cox College c/o Cohort Manager, Houston Cohort Dual Degree Program, 900 North Benton Ave., Bay Hall CCPS, Springfield, MO 65802.