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: --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip:

Parish/County (required)

Home Phone:

Cell Phone:

Local Address 1:

Local Address 2:

City:

State: --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip:

Local Telephone Number:

Enrollment Status Please ChooseIncoming FreshmanTransferRe-EntryCurrently Enrolled

Year in School Please ChooseHigh School SeniorFreshmanSophomoreJuniorSeniorGraduate Student

High School Graduation Date

Do you consider yourself to be Hispanic/Latino, Not Hispanic/Not Latino, or Prefer not to respond? Please ChooseHispanic/LatinoNot Hispanic/No LatinoPrefer not to respond

Race (Please select one or more that apply)
American Indian/Alaska NativeAsianBlack/African AmericanNative Hawaiian/Other Pacific IslanderWhite

Gender
FemaleMaleNon-binary/third genderPrefer not to say

ACT Score

SAT Score

High School GPA

College GPA (if applicable)

College Please ChooseArts Letters & Graduate StudiesEducation & Human DevelopmentNursing & Allied HealthScholarsScience Technology & Business

Intended Major

High School

Will you be living on campus? Please ChooseYesNoI don't know

Are you a first generation college student? (Neither parent is a graduate of a 4-year University) Please ChooseYesNoNot Sure

Is either parent/guardian a graduate of NSU? Please ChooseYesNo

Parent Information

Name(s):

Parent Address 1:

Parent Address 2:

City:

State: --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip:

President's Leadership Program

The President’s Leadership Program identifies incoming first-year students with previous leadership experiences and provides them with a year-long development program. The program is designed to promote active involvement in the campus community and to provide opportunities for students to build leadership skills together. Students will take a common leadership class together and engage in a series of intentional leadership development experiences, which prepares them for leadership roles on campus and within their communities. Are you interested in learning more about PLP?
Please ChooseYesNoMaybe

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