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Foundation Scholarship Form

Foundation Scholarship FormJoe2024-11-20T08:19:55-06:00

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First Name *

Last Name *

Campus Wide ID

Birthdate

Email *

Permanent Address

Address Line 1 *

Address Line 2

Apartment #, Suite #, etc.

City *

State *

Zip Code *

Parish/County *

Home Phone

Cell Phone *

Local Address

If applicable

Address Line 1

Address Line 2

City

State

Zip Code

Local Telephone Number

Enrollment Status

High School Graduation Date

Race (Please select one or more that apply)

American Indian/Alaska Native
Asian
Black/African American
Hispanic/Latino
Native Hawaiian/Other Pacific Islander
White
Prefer not to respond

Gender

ACT Score

SAT Score

High School GPA

College GPA (if applicable)

Academic College

Intended Major

High School

Will you be living on campus?

Are you a first generation college Student? (Neither parent is a graduate of a 4-year University)

Is either parent/guardian a graduate of NSU?

Are you or either parent/guardian a first responder or in the military?

I am a first responder
I am in the military
My parent/guardian is a first responder
My parent/guardian is in the military

Parent Names

Parent Address

Address Line 1

Address Line 2

City

State

Zip Code

Honors and Extra-curricular activities *

List any Honors you have received, including academic, extacurricular, athletic, community service, etc.

Short Essay - Please explain why you financially need assistance *

I certify that the information submitted is true and complete to the best of my knowledge *

I certify the above statement to be true

NSU Foundation Board of Directors

Alumni Association Board of Directors

nsula.edu

nsudemons.com

nsutraditions.com

Disclaimer ● Non-Discrimination

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