NOVA Application

Fill out an application if you would like to participate in the NOVA Program.

* Required fields

(Include first, middle, and last name)

(e.g. 859-123-4567)

(optional)

Do not include Social Security Number - MUST be EKU ID Number

(if there is more than 9 in household, please contact NOVA for guidelines)

How did you hear about our program?

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