Online Form for First-time Freshmen, ProStart Students and GED Graduates.

This must be printed, signed and mailed in with your completed application packet.

YOUR APPLICATION WILL NOT BE CONSIDERED if you do not follow these instructions

  1. You must read the Application Instructions before you complete this online form:

    Download these Instructions.

    You must follow the instructions completely and mail in a complete application packet as described in the instructions to be considered for the scholarship.
  2. Be prepared to print the completed online form. You will have only one opportunity to print. The online form can be printed in full ONLY after you have successfully submitted the online form electronically.
  3. Please use the back and forward arrows on your browser toolbar when going back and forth between pages. Once all changes have been made, click on the next button on the bottom to continue the application process.

SECTION 1 - PERSONAL INFORMATION    (Asterisk (*) indicates a required field)
 
First Name*: 
Middle Name: 
Last Name*: 
Permanent Address*: 
City*, State*, Zip+4*:      
Phone Number*:    
Cell Number:   
E-mail*: 
Date of Birth (mm/dd/yyyy)*:   
Gender:  Female Male
Are you a citizen of the U.S. or resident of its territories (American Samoa, Guam, Puerto Rico, U.S. Virgin Islands)?*:  Yes No 
 
Ethnic origin (check one): 
You may supply this information voluntarily. The NRAEF administers an equal opportunity
scholarship program.
African American
Hispanic
Caucasian 		Asian American
Native American
Other

SECTION 2 - SCHOOL INFORMATION
 
A. Current Information
Did you participate in the ProStart® Program? Yes  No 
High School Name*: 
Address*
City*, State*, Zip+4*:      
Phone Number: 
Expected Date of High School
Graduation or completion of
GED exam (mm/yyyy)*: 		  
Cumulative GPA or GED
average standard score*: 
 
B. Future Information
College/University Name: 
Address of Financial Aid Office: 
City, State, Zip:      
Annual Tuition:
School*:
In-State Private   Out of State Private
In-State Public   Out of State Public
Anticipated Major: 
Expected College Graduation Date
(mm/yyyy)
I plan to attend a:*
Calendar Year Program   Culinary Program  
2-Year College   4-Year College
I plan to pursue/receive a:* Certificate   Associate's Degree  
Bachelor's Degree