NOVA Application

The NOVA Program
521 Lancaster Avenue
Turley 2
Richmond, KY 40475
Phone: 859-622-1047
Fax: 859-622-1074
NOVA@eku.edu

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

^* Required fields

First Name: *

Middle Name:

Last Name: *

Gender:

Male

Female

Other

Prefer not to answer

Email: *

Mailing Address: *

Apt. #:

City: *

State: *

Zip Code: *

Home Phone: *

(e.g. 859-123-4567)

Cell Phone:

(optional)

EKU ID Number: *

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

Number of people living in your home: *

Total, taxable household income range for 2018 (Line 10 on Form 1040): *

For families/households with more than 8 persons, add $4,420 for each additional person.

What will be your status in the Fall 2019 semester? : *

New student

Current student

Transfer student

Did either of your natural or adoptive parents graduate with a bachelor’s degree before your 18th birthday?: *

Yes

Are you interested in living in the NOVA Living Learning Community (Sullivan Hall)?: *

Yes

Not Sure

How did you hear about our program?

If you selected 'other', how did you learn about NOVA?:

Who referred you to NOVA?:

Will you be attending the EKU Richmond campus for Fall 2019?: *

Yes

Will you be taking 13 or more credit hours in the Fall of 2019?: *

Yes

Comments:

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This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Math question: * 1 + 0 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

NOVA Student Receives Owenelle Foundation Scholarship!

NOVA Program participant Catelynn Helm was recently awarded the Owenelle Gift Fund Scholarship...

Aug

Thu

Peer Mentor Retreat

Aug

Sat

NOVA Open House

Sep

Thu

Paddle and a Picnic!

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

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