Personal Data
Contact Information
- Name - Enter your legal name and any other name that may appear on your transcripts or reference letters (e.g., your maiden name).
- Resident state - Enter the state you are a resident of for tuition purposes.
- Email - Enter your primary email address. Information about your application, including official award notification, will be sent to this email address. Make sure that you can be reached at this email address by mid April 2012. Award winners are expected to accept or reject the offer within two weeks of receipt of official notification.
- Primary address - Enter your primary (mailing) address.
- Secondary address - Enter your permanent address.
- Phone number - List a phone number where you can be reached by mid April 2012.
This information can be edited at any time, even after you submit your application. Simply login and select "Contact Information," then enter and save the updated information.
Citizenship and Demographics
All applicants must be U.S. Citizens or nationals. The term "nationals" refers to native residents of a possession of the United States such as American Samoa. It does not refer to a citizen of another country who has applied for U.S. citizenship. Persons who hold permanent resident status are not eligible. Proof of citizenship will be required upon formal offer.
Citizenship information
- U.S. Citizen or National - Select "I am a U.S. citizen," "I am a U.S. national," or "I am not a U.S. citizen or national." If you are not a U.S. citizen or national, you are not eligible for the NDSEG Fellowship.
- Are you registered with Selective Service? - Select "I am not required to register," "Yes," or "No."
Birth Information
Please indicate your date of birth, or select "I do not wish to provide my date of birth." Enter the city, state, and country of birth.
Demographic Information
Gender, Ethnicity, Race, and Disability - Providing this information is voluntary; if you do not wish to answer the questions, simply select the "I do not wish to respond" option under each question.
This information will not be provided to evaluators and will not impact your eligibility in any way. It is used to determine the degree to which members of diverse sections of the eligible population are aware of and apply for this program. See the Privacy Act Statement for more information.