Personal Information × First Name × Last Name × Street Address × City × State - None -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming × Zip Code × Home Phone Number × Cell Phone Number × Email Address × Ethnicity × Race × Gender × Pronouns × Anticipated Major The Premier Scholars Program consists of a summer and an academic year component. The summer component of the Premier Scholars Program will take place from Monday, August 5 – Wednesday, August 14, 2024. Will you have any scheduling conflicts? × Yes × No × If yes, please list scheduling conflict. Are you a First Generation Student? × Yes × No × Not Sure First-generation students come from families where their parents did not complete a four-year degree. Will you be an on campus resident or commuter? × Resident × Commuter (On-campus residents will move in on Sunday, August 4th.) Are you participating in the College Scholars Honors Program? × yes × No × Not Sure Are you participating in the Cardinal Athletic Band, Color Guard, Dance Team or Cheer Team? × Yes × No × Not Sure × Are you competing in any NCAA recognized intercollegiate athletic teams for North Central College? (i.e. football, soccer, track). If so, which one(s)? Due to scheduling conflicts, dual participation in Premier and football is not feasible. × What orientation date have you selected? Please note that you must have completed the New Student Survey for first year advising and registration date selection. Until June 1, students experiencing significant travel barriers to attending Orientation and/or the Premier Scholars Program can apply for financial assistance. Are you interested in applying for first-year student travel assistance? × Yes × No × Not sure × Please list any food allergies or dietary needs during the program × Please list any medical concerns we should be aware of during the program × Please list any accommodations needed during the program (i.e. physical or language restrictions) × Please indicate your t-shirt size - None -Men's SmallMen's MediumMen's LargeMen's XLargeMen's XXLargeWomen's SmallWomen's MediumWomen's LargeWomen's XLargeWomen's XXLarge Please answer the following questions × How do you think you would benefit from participating in the Premier Scholars Program? × What do you hope to accomplish (career/life goals) after you complete college? × Is there anything else you would like the Premier Scholars Program staff to know about you? CAPTCHA × Math question 3 + 2 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. × Leave this field blank
