Thank you for your interest in our McNair Scholars program!  Please complete this application as thoroughly as possible.  You cannot save and restart this application.  You may want to review the included items, take some time to make notes and gather the required documents, and then return to submit your application.  If you have any questions, please contact Shelby Serrano at shelby.serrano@northern.edu or 605-626-7801.
General Information:
First Name *
Last Name *
Middle Name *
Birthday *
Gender *
NSU Student ID Number *
Phone Number *
Local Address *
Home Address (if different from local address)
NSU Email *
Personal Email *
Eligibility Information:
Resident Status *
Ethnicity 1 *
Ethnicity 2
Parent or Guardian 1 Highest Education Level Achieved *
Parent or Guardian 2 Highest Education Level Achieved *
Are you a degree-seeking NSU student? *
Education Background:
NSU Undergraduate Education Goals *
On a scale of 1 to 5, how determined are you to earn a bachelor's degree at NSU? 1 being the lowest, and 5 being the highest. *
Have you participated in other TRIO Programs in the past? *
If you answered yes from the previous question, which programs did you participate in?
Current NSU Enrollment Status: *
Expected graduation date *
Please list three or more references who support your application to become a McNair Scholar. One may be a faculty member. Include their name, email, and phone number. *
Please list one NSU faculty member who supports you in becoming a McNair Scholar. Please list their name, email, and phone number. *
Thinking about your career goals, which of the following statements describes you best? *
Have you applied for federal financial aid for this academic year? *
By singing below, I attest that all the information I have provided is correct to the best of my knowledge. I authorize the TRIO McNair staff at NSU to access my academic, Financial Aid, and other campus records, which may be necessary to demonstrate TRIO McNair eligibility. I understand that all records will be kept confidential. 
Please provided you E-Signature for the application. *
Signature Type: SMS    Start Over
After validation, the cell phone number will become part of the electronic signature.
Cell Phone Number: