EKU's NOVA Program

NOVA Application Form

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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?

< $16,245
$16,246 - $21,855
$21,856 - $27,465
$27,466 - $33,075
$33,076 - $38,685
$38,686 - $44,295
$44,296 - $49,905
$49,906 - $55,515

(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?

Yes No

* Did either of your parents graduate from a 4 year college/ university?

Yes No

* Please check any TRiO programs you have participated in:

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

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