NOVA Application Form
NOVA Program Home  Orientation  Financial Aid  Advising  Housing  EKU Map  Blackboard  

Do you qualify for NOVA Student Support Services? Please refer to the NOVA eligibility page.

* Required Fields

* First Name:
Middle Name:
* Last Name:
* E-mail:
* Home Address:
APT. #
* City:
* State: (e.g. KY)
* Zip Code:
* Home Phone: (e.g. 859-123-4567)
Cell Phone: (optional)
* EKU ID#: (Do Not Include SSN#)
* # in household:
* Total, taxable household income range for 2008?
 








(If more than 9 in household, please contact us for guidelines)

*In the fall of '09, will you be a first semester freshman, taking 12+ hours on the EKU Richmond campus?
 
* Did either of your parents graduate from a 4 year college/ university?
    
* Please check any TRiO programs you have participated in:
 
Upward Bound Student Support Services
Math Science Upward Bound Veterans Upward Bound
Educational Talent Search None
EOC  
Did someone refer you to apply for NOVA?
  Yes No     If yes, who referred you:
How did you learn about NOVA?
 

Postcard or Brochure

High School Counselor

EKU Spotlight Event

Friend/Family

Comment box:

(Spam Protection)