Foundation Scholarship Form

    First Name (required)

    Last Name (required)

    Social or Campus Wide ID

    Birthday:

    Email Address (required)

    Permanent Address 1:

    Permanent Address 2:

    City:

    State:

    Zip:

    Parish/County (required)

    Home Phone:

    Cell Phone:

    Local Address 1:

    Local Address 2:

    City:

    State:

    Zip:

    Local Telephone Number:

    Enrollment Status

    Year in School

    High School Graduation Date

    Do you consider yourself to be Hispanic/Latino, Not Hispanic/Not Latino, or Prefer not to respond?

    Race (Please select one or more that apply)

    Gender
    FemaleMaleNon-binary/third genderPrefer not to say

    ACT Score

    SAT Score

    High School GPA

    College GPA (if applicable)

    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?

    Parent Information

    Name(s):

    Parent Address 1:

    Parent Address 2:

    City:

    State:

    Zip:

    Honors and Extra-curricular activities (required)

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

    Short Essay (required)

    Please explain why you financially need assistance:

    Certification (required)
    I certify that the information submitted is true and complete to the best of my knowledge.
    I certify the above statement to be true