EKU NOVA (TRIO SSS) Application
All fields marked with * are required and must be filled. Please allow 3-5 business days before receiving an email response regarding your completed application.
SECTION A: Demographic Information
Legal Name
*
First Name
Last Name
Preferred Name (if different than legal name)
EKU ID #
*
Sex assigned at birth
*
Female
Male
Gender (used to affirm your gender identity)
*
Female
Male
*Trans or non-binary
Preferred Pronouns
*
She/Her/Hers
He/Him/His
They/Them/Theirs
Other
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
TRiO programs you have participated in
*
Educational Talent Search
Educational Opportunity Center
Gear Up
McNair Scholars
Student Support Services
Upward Bound
None
E-mail Address (communication regarding your application will be sent to this email)
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
EKU NOVA may send SMS text messages to provide information and services related to the our program. Text messaging rates and fees from mobile carrier may apply. Please, check the box below if you wish to OPT OUT of receiving text messages from EKU NOVA.
I opt out of receiving text messages from EKU NOVA
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Permanent Address (if different from above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Semester/year for which you are applying
*
Fall 2024
Spring 2025
Have you applied and been accepted to EKU for the 2024-2025 academic year?
*
Yes
No
I have applied but have not yet been accepted
Select your Educational Status
*
Incoming freshman (no college credits earned)
Incoming freshman (dual credit and/or AP credits earned)
Current EKU student (currently enrolled & taking classes)
Transfer student (planning to transfer to EKU in Fall 2024 or Spring 2025)
Intended Major
Will you be enrolled full-time (12 or more credit hours per semester) during the 2024-2025 academic year?
*
Yes
No
Will you be taking classes at the EKU Richmond (main) campus during the 2024-2025 academic year? *Note: we do not serve online or extended campus (Corbin, Manchester) students.
*
Yes
No
Are you Hispanic/Latino?
*
Yes
No
Race
*
American Indian/Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
SECTION B: Eligibility Questions
Are you a U.S. citizen?
*
Yes
No
Are you a Permanent Resident?
*
Yes
No
Are you a first-generation student (neither of your parents graduated with a bachelor's degree)?
*
Yes
No
Do you have a documented/verifiable disability (physical/learning/emotional)?
*
Yes
No
If yes, are you registered with the EKU Accessibility Office?
*
Yes
No
I do not have a documented disability
If you are not registered with the EKU Accessibility Office, are you able to provide documentation of disability to the NOVA office?
*
Yes
No
I do not have a documented disability
SECTION C: FAFSA Dependency
If you answer "YES" to one or more of the questions in this section, then for federal student aid purposes, you're considered to be an INDEPENDENT student and will NOT be required to provide information about your parents' income in SECTION D below. If you answer "NO" to every question in this section, then you're considered a DEPENDENT student, and you must provide information about your parents' income in SECTION D below.
Were you born before January 1, 2001?
*
Yes
No
As of today, are you married?
*
Yes
No
Are you currently serving on active duty in the U.S. armed forces for purposes other than training? (if you are a National Guard or Reserves enlistee, are you on active duty for other than state or training purposes?
*
Yes
No
Are you a veteran of the U.S. armed forces?
*
Yes
No
Do you now have-or will you have-children who will receive more than half of their support from you between July 1, 2024, and June 30, 2025?
*
Yes
No
Do you have dependents (other than your children or spouse) who live with you and who receive more than half of their support from you, now and through June 30, 2025?
*
Yes
No
At any time since you turned age 13, were both your parents deceased, were you in foster care, or were you a dependent ward of the court?
*
Yes
No
Has it been determined by a court in your state of legal residence that you are an emancipated minor or that someone other than your parent or stepparent has legal guardianship of you? (You also should answer “Yes” if you are now an adult but were in legal guardianship or were an emancipated minor immediately before you reached the age of being an adult in your state. Answer “No” if the court papers say “custody” rather than “guardianship.”)
*
Yes
No
At any time on or after July 1, 2022, were you determined to be an unaccompanied youth who was homeless or were self-supporting and at risk of being homeless, as determined by (a) your high school or district homeless liaison, (b) the director of an emergency shelter or transitional housing program funded by the U.S. Department of Housing and Urban Development, or (c) the director of a runaway or homeless youth basic center or transitional living program?**
*
Yes
No
SECTION D: Income Verification
INDEPENDENT STUDENTS: Use your tax information in this section. DEPENDENT STUDENTS: Use your parents' tax information in this section. Using your 2022 tax form 1040 (see line 15), complete the section below. If you did not file a tax return, please select that option from the drop-down menu below.
How many people live in your household? (include yourself and any children away at school)?
*
Please Select
1
2
3
4
5
6
7
8
9 or more
Please select your (independent students) or your parents' (dependent students) taxable income range for 2022. *Note: this is NOT your salary or take-home pay.
*
Please Select
less than $21,870
$21,870-$29,579
$29,580-$37,289
$37,290-$44,999
$45,000-$52,709
$52,710-$60,419
$60,420-$68,129
$68,130-$75,839
$75,840 or more
I did not file a tax return for 2022
Read before signing:
By signing below, I certify that all the information which I have provided is true and correct to the best of my knowledge. I understand that Student Support Services (SSS) staff will use the data provided on this application to assist in determining my eligibility for the program. If accepted into the program, I hereby give permission to SSS staff to disclose and receive information concerning the nature of eligibility and information concerning my academic progress, including, but not limited to grades and transcripts on an as needed basis with the appropriate faculty and staff at Eastern Kentucky University. I also give SSS staff permission to view and receive any and all financial aid information from the Financial Aid Office. My signature signifies that I have read and understand this statement and that I am signing free of force or duress.
Parent Signature (required for DEPENDENT students only)
Student Signature (required for ALL applicants)
*
Submit
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