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NOVA Application

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

* Required fields

(e.g. 859-123-4567)


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?

This question is for testing whether you are a human visitor and to prevent automated spam submissions.
11 + 5 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
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