Emergency Scholarship Assistance Application

Emergency Scholarship Assistance Application

NUID*

First Name*

Last Name*

Northeastern E-mail Address

Undergraduate or Graduate Student?*

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Major, Academic Program, or Area of Study*

Who is your advisor?*

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How many total credits are required for your degree? (Ex. Generally 120 for a bachelor's and approximately 45 for a master's) Please take the time to check.*

How many total credits have you already earned toward your degree at CPS? (Do not include credit values for courses you are currently enrolled in.)*

How many credits are your currently enrolled in?*

When do you anticipate completing your degree/program?*

Are you a first generation college student? (i.e. neither of your parents attained post-secondary degrees)*

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Do you have an outstanding balance on your student account?*

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What is your current outstanding balance?*

Has your outstanding balance been referred to a collections agency?

Are you registered or planning to register for the upcoming academic term?*

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Will your emergency situation prevent you from registering for the next class term?

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Do you have a diagnosed learning disability registered with Northeastern's Disability Resource Center?*

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Are you employed, and if so, please provide your employer name and job title.*

Are you a single parent?*

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Do you provide the sole income for a family beyond yourself?*

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Are you receiving any other scholarship support at this time?*

If you are receiving additional scholarship support, please list the source and/or Scholarship Fund name.*

Are you enrolled in an A2M program at NU?

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Did you attend a Community College before NU?

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If yes, what Community College did you attend?

How did you hear about the CPS Emergency Scholarship Assistance Fund?*

Which of these applies to you?

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If you live in the U.S. , what is your home city?

If you live in the U.S. , what is your home state?

Please explain why you are applying for emergency tuition assistance. Be as detailed as possible. You may be asked for supporting documentation.*

Is there any additional information you would like to share?*

Adviser Email

Send me a copy of my responses

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