NSA Application

(For best results, please fill out this form using the Google Chrome Browser.)

Please note this form cannot be saved, so review the questions at the bottom of the form and be ready to answer ALL questions in order to submit. It may be beneficial to type your responses to the questions in a Word document and then paste them into this form.

If you get an error message upon submission, it may be because the form has been open too long or the browser has been open awhile or the computer needs to be rebooted.

Steps to be completed for application to the NORTHWESTERN SCHOLAR AMBASSADORS (NSA)

1. Fill out the application.

2. Submit a complete official transcript including Fall 2019 grades (Must have a 3.25 Cumulative GPA to qualify for consideration).

3. Make arrangements to have one letter of recommendation mailed (or included with your application) to the NSA coordinator – This needs to be from a faculty member or administrator at your college. The letter of recommendation should include administrator or faculty member’s name, position, and relationship to you.

4. Please mail all materials to the address below (or drop off in Fine Arts 117).

Northwestern Oklahoma State University
ATTN: NSA Coordinator
709 Oklahoma Boulevard
Alva, OK 73717

THE APPLICATION DEADLINE IS APRIL 17, 2020, by 5:00 PM . From the applications received, several students will be interviewed. This year we only have a few positions open, so making sure your paperwork is in order and complete will be to your benefit. If chosen, you will be contacted by phone to set up your interview time. Interviews are scheduled for the end of April. Contact Calleb Mosburg, Alva Campus, at cnmosburg@nwosu.edu for questions.

Personal Information

Academic Information

COLLEGIATE EXTRACURRICULAR/CAMPUS INVOLVEMENT

HIGH SCHOOL EXTRACURRICULAR INVOLVEMENT

CIVIC INVOLVEMENT

PERSONAL INVENTORY


 Check this box as your electronic signature.

You may choose to upload a scanned version of your letter of recommendation with this form. Please make arrangements to submit other required
documents to Fine Arts 117. All documents (application, letter of recommendation, and official transcript) must be submitted prior to the April 17, 2020,
deadline for your NSA application to be complete. Please contact Calleb Mosburg at (580) 327-8415 or via email at cnmosburg@nwosu.edu
if you have any further questions. Thank you for your application for the Northwestern Scholar Ambassadors.

Northwestern Oklahoma State University

709 Oklahoma Blvd., Alva, OK 73717
Phone: (580) 327-1700

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University. All Rights Reserved.

Mission Statement

Northwestern Oklahoma State University provides quality educational and cultural opportunities to learners with diverse needs by cultivating ethical leadership and service, critical thinking and fiscal responsibility.

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