Semester Entering: Fall Spring Year:
Freshman Transfer Student

Have you applied to NSU for the same semester? Yes No

Have you applied to the Scholars' College before? Yes No
(if yes, year you applied: )

PERSONAL DATA

Social Security Number:

3. Telephone: 4. Email: 5. Date of Birth:

6. Citizenship: U.S. Citizen Permanent Resident Alien International Student
What country?

7. Are you a legal resident of Louisiana? Yes No

8. Marital Status: Single Married
Other

9. Are you a veteran? Yes No
(if yes, are you eligible for benefits? Yes No )

10. Sex male female

EDUCATIONAL DATA

13. High School Graduation: Date of Graduation: Name/Location of School

14. Have you taken the ACT or SAT? Yes No Date Taken

If you did not report your ACT/SAT scores to NSU when you took the test, you must obtain from your school or from NSU an ACT/SAT additional report form. NSU's ACT score report code number is 1600. NSU's SAT score report code is 6492. Only official score reports will be used to satisfy admission requirements.

15. List all other secondary schools you have attended, beginning with the ninth grade. Include summer schools and summer programs.

16. College History: have you taken any college courses? Yes No

If yes, list all the colleges and universities you have attended, inluding Northwestern, starting with the most recent college. Have the Registrar's Office of each institution mail official copies of your transcripts directly to the Scholars' College.

17. Have you ever been suspended or dismissed from any college or university for disciplinary reasons? Yes No

If yes, give the name of the institution, date and reason for this action

18. Have you ever visited the Northwestern campus? Yes No Date Did you visit the Scholars' College? Yes No

19. At this point, what profession most interests you?

20. How did you hear about the Louisiana Scholars' College?

ACADEMIC HONORS

21. Briefly describe any scholastic distinction or honors you won during your high school

EXTRACURRICULAR AND COMMUNITY ACTIVITIES

22. You may attach a resumé concerning your academic and extracurricular activities or complete the table

WORK EXPERIENCE

23. List every job you have held in the past four years.

PERSONAL INTEREST AND HOBBIES

24. List any hobbies or other activities that you enjoy.

THE ESSAY

25. Once you submit this application you will be provided a link to follow so that you may send your essay.

In this essay (500 to 1000 words) please:

1. compare and contrast yourself to a fictional character from a novel of substantial literary value you have read in the past two years,

OR

2. describe in detail a special interest, significant experience, or achievement that has special meaning to you.

FINANCIAL AID AND SCHOLARSHIP DATA

IMPORTANT: The Scholars' College accepts all approved federal applications for financial aid. Preferred deadline for Scholars' College and NSU scholarships is December 1. The state of Louisiana requires applications for state aid (TAP, LHS, and T.H. Harris) to be filed by April 1. The preferred deadline for filing for federal aid is May 1.

26. I am applying for financial aid based on demonstrated need. Yes No

28. I wish to be considered for scholarships. Yes No

THE HONOR CODE

The Honor Code of the Louisiana Scholars’ College, Northwestern State University, Natchitoches, Louisiana

The community of students, faculty, and staff in the Louisiana Scholars’ College trusts that its members will act honorably in every endeavor. For this reason, we have developed an honor code that promotes responsibility for our education and also directly involves the students, faculty, and staff in the creation and maintenance of such a community. This code represents a voluntary and internal mechanism, separate from state and university regulations, for maintaining and enforcing the highest ideals of honor.

In such an atmosphere of personal and communal integrity, we assume that students neither give nor receive unauthorized aid on graded assignments. In affirmation of their honor in these matters, students’ signatures on all work will indicate that they have neither given nor received unauthorized aid, nor observed others doing so. Plagiarism, cheating on examinations, and other violations of academic integrity do not promote the ideals of a community dedicated to high standards of intellectual responsibility. In other areas of campus life, moreover, students, faculty, and staff in the College community are expected to meet similar high standards: each student must respect the rights of others, striving always to uphold those principles of responsible citizenship on which the College depends. All members of the community are considered representatives of the College and are expected to uphold the highest standards of honor both on and off campus at all times during their official association with the Louisiana Scholars’ College.

I understand the importance of academic integrity: I will neither give nor receive unauthorized aid on graded projects, such aid including plagiarism, the use of other persons’ words or ideas as my own, and cheating, giving or receiving information on examinations.

I recognize the importance of honorable behavior in campus life, and I will not tolerate conduct that is detrimental to the College community, such behavior including but not limited to discourtesy, stealing, lying, and inordinate abuse of alcohol or other drugs; nor will I permit harassment of others because of their religion, gender, sexual preference, political ideas, physical condition, ethnic origin, or skin color.

The College community understands that the purpose of the Code is to prevent transgressions rather than promote punishment. In recognition of my support for the ideals of the College and my responsibility to fellow members of the community, I will act upon any suspected violation of the Honor Code by discouraging any behavior that seems likely to result in a violation of the Honor Code. I also acknowledge that my responsibility to the College community may require me to report transgressions of the Honor Code.

As a continuing reminder of the ideals stated in the Honor Code and as an indication of my support for these ideals, I will abide by the following procedures:

1) On all essays, term papers, reports, senior theses, and other work that is entirely my own, my signature at the end of my paper will signify my support of the Honor Code.
2) On preprinted materials such as major tests, I will sign my name to the following preprinted affirmation: “my signature on this paper affirms my support of the Louisiana Scholars’ College Honor Code.”

29. I certify, if applicable, that I have registered or will register with the selective service.

I certify that the information given above is complete and correct, to the best of my knowledge. I understand that failure to provide complete and accurate information can lead to rejection of this application or suspension from the Scholars’ College with loss of any credits earned and fees paid.

I have read the Honor Code which guides the behavior of students enrolled in the College.

I accept the responsibilities set forth in this Code.

I Accept I Reject