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:
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:
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