Navigator Application 2008

Last Name*
First Name*
Grade you are entering in September 2008*
Address*
City*
State*
Zip Code*
Home Phone Number*
Email
School Name*
School Phone Number
Gender/ Sexual Identity*
Ethnicity
Age*
Explain why you feel you would succeed in the Navigator program.*
In what ways have you utilized your skills gained in Pathfinders or other similar leadership programs?*
What do you hope to offer as a Navigator?*
List three goals that you would like to set for yourself to achieve as a Navigator.*
Is there anything that you DO NOT eat? Why?*
Are there any special needs that you have that we should be aware of? (This includes people that you would or wouldn't like to share a room with.)*
At this point are you considering applying to Northland College in the future? yes
no
If you are new to our program, how did you hear about us?
If you recieved a brochure, and are new to us, please enter the code on the mailing label page.