Northwestern Scholar Ambassadors Application

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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.

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

1. Fill out the application.

2. Submit a complete official transcript (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 the administrator or faculty member’s name, position, and relationship to you.

4. Please mail all materials to the address below (or drop off in Ryerson Hall 125).

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

THE APPLICATION DEADLINE IS APRIL 3, 2023, by 5:00 PM . From the applications received, several students will be interviewed. If chosen, you will be contacted by phone to set up your interview time. Interviews are scheduled for the month of April. Contact Ethan Sacket at egsacket@nwosu.edu for questions.

Personal Information

Full Legal Name *

Current Date *

Home Street Address *

City *

State *

Zip Code *

Phone Number *

Shirt Size *

Email Address (to receive a copy of this form) *

Academic Information

High School *

High School Graduation Date *

Number of College Hours Completed *

Cumulative Collegiate GPA *

If you have attended college other than Northwestern, what college do you attend? *

Major (if decided) *

COLLEGIATE EXTRACURRICULAR/CAMPUS INVOLVEMENT

Academic (student government, leadership activities, groups, organizations) *

Athletics (sports participated in, years played, honors and awards): *

HIGH SCHOOL EXTRACURRICULAR INVOLVEMENT

Academic (student council, leadership activities, groups, organizations): *

Athletic (sports participated in, years played, honors and awards) *

CIVIC INVOLVEMENT

(community service, volunteer experience, etc.) *

PERSONAL INVENTORY

What does being a Northwestern Ranger mean to you? *

What do you feel are your strongest qualifications for this award? *

Letter of Recommendation

Misc File Upload

Terms & Conditions

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 Ryerson Hall 125. All documents (application, letter of recommendation, and official transcript) must be submitted prior to the April 3, 2023,
deadline for your NSA application to be complete. Please contact Ethan Sacket at (580) 327-8606 or via email at egsacket@nwosu.edu
if you have any further questions. Thank you for your application for the Northwestern Scholar Ambassadors.