Diversity & Multicultural Student Services

NDNSS Program Application

2015-2016

Application Deadline: (Mailed, Faxed, or Delivered): To Diversity Multicultural Student Services, @ SMSU 425,

by priority deadline April 30, 2015.

Program Description:

The “Native Development & Networking for Student Success” (NDNSS) program is for first-generation, low-income, first-time students at Portland State University. This program is designed to help new students transition to PSU from high school or community college. As a participant in the program you will learn skills to enhance your success at PSU from staff and student mentors. It will also provide guidance and assistance in financing your education.

Selected NDNSS Participants will be required to enroll in the DMSS College Success Course Fall 2015, actively participate in Diversity & Multicultural Student Services community building (social and cultural) activities and workshops, meet with a designated mentor throughout each term, seek out financial resources for the academic year, and meet on a regular basis with the NDNSS general advisor.

NOTE: The programing and course content for this program will focus on the American Indian/Alaska Native student college experience.

Eligibility:

●  High school seniors beginning their first term at PSU Fall 2015.

●  First-generation (neither parent graduated from a 4 year university).

●  Admitted to Portland State University or currently in the process of admission.

●  Demonstrated financial need (as determined through FAFSA or financial need statement.

PSU supports equal opportunity in admissions, education, and use of facilities by prohibiting discrimination in those areas based on race, color, creed or religion, sex, sexual orientation, gender identity, national origin, age, physical or mental handicap, or veteran status.

Return to: Dean Azule

Native American Student Services

Mail Code: DMSS

Portland State University

PO Box 751

Portland, OR 97207-0751

Fax : 503-725-5462

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Checklist for the Fall Term 2015 Completion:

o  I have applied for admission to Portland State or I am currently admitted for Fall 2015.

o  A completed application form.

o  The required essay

o  A copy of my high school unofficial transcript.


Diversity & Multicultural Student Services

NDNSS Program Application

2015-2016

Name: ______SID: ______

First Middle Initial Last

Mailing Address: ______Telephone: ______/______

Street Address


______Cell Phone: ______/______
City State Zip


______Birth date: ______-______-______

Primary Email Address


High School/College Attended: ______Graduation Date: ______GPA______

Note: Please provide an unofficial high school/college transcript.

Intended Major(s):______ Are you a first generation college student? Yes ¨ No ¨

Have you submitted a FAFSA? Yes ¨ No ¨ Note, if you are not receiving financial aid please provide a statement of financial need.

Please list scholarships awarded for Fall Term: ______

Please list any Tribal grants or scholarships you are expecting: ______

Are you a participant in any support program for Fall Term at PSU? ______If yes, please list ______

Yes/No (TRiO, L-SAMP, ROADS, etc.)

Are you a participant in the PSU TRiO-Student Support Services Summer Bridge program? Yes ¨ No ¨

Race/Ethnicity: You are urged to supply this information. However, you may decline without prejudicing y our application in anyway. Please check any/all that apply.

____I – American Indian or Alaskan Native ____PI – Pacific Islander
Tribal Affiliation______Are you enrolled Y____N____ Are you a Descendent Y___ N___
Please List any additional Ethnicities: ______

Essay (required) – Print or type your name and student identification number on each page of your essay. Please answer question thoroughly. Maximum of 400 words for each question.

1.  How has your personal/family/tribal background shaped your educational/career goals? What or who has motivated you to pursue your college degree? What difficulties have you overcome to get to college?

2.  From the program description on the front page of this application, please explain what component(s) of the NDNSS program you believe will be the most beneficial to you as a new student at PSU. How will participation in the NDNSS program help enable you to give back to the Native community?

I hereby authorize Portland State University to furnish copies of my academic record, essay and this application to the NDNSS program selection committee to review in considering my application. I further authorize release of information for publicity purposes (if selected for this program).

______/______/______

Applicant’s Signature Date