NASI Application

Please complete the application as thoroughly as possible, pay close attention to the minimum word count! Deadline to apply is April 1, 2022

First Name of Applicant:
Last Name of Applicant:
Date of Birth for Applicant:
Age of Applicant (at time of application):
Gender of Applicant:
Mailing Address (Please include city, state and postal code):
Email address of Applicant:
Email address of applicant (confirmation):
Phone number of Applicant (please include area code):
Alternate phone number (can be parent or guardian - please include area code)):
Tribal Affiliation :
Name of High School applicant will be attending in Fall 2022:
Grade level applicant will be entering in the Fall of 2022:
Name of high school guidance counselor:
Parent / Guardian 1 - Full Name:
Parent / Guardian 1 - mailing address (please include city, state and zip code):
Parent / Guardian 1 - email address:
Parent / guardian 1 - email address (confirmation):
Parent / guardian 1 - phone number (please include area code):
Parent / Guardian 2 - Full Name:
Parent / Guardian 2 - mailing address (please include city, state and zip code):
Parent / Guardian 2 - email address:
Parent / Guardian 2 - email address (confirmation):
Parent / Guardian 2 - phone number (please include area code):
Please select 2-4 academic areas of interest:
Humanities (ancient and modern languages, art & art history, philosophy, history, etc.) Social Sciences (anthropology, economics, human geography, political science, psychology, sociology, etc.) Criminal Justice, Pre-Law (Law), Law Enforcement, etc. Natural Resources (environmental systems, outdoor leadership, sustainability, etc.) Sciences (chemistry, biology, physics, etc.) Engineering, Mathematics, Compuiter Science, etc.
Other areas of academic interest:
What are your future (post High School) academic goals and what are you doing to prepare yourself for achieving these goals (200 word minimum):
How will your participation in the 2022 NASI program assist you in reaching your academic and educational goals? (100 word minimum):
Please describe your community involvement and how this involvement makes you a good canididate for acceptance into the 2022 NASI program (100 words minimum):
I understand that by checking the box below and being accepted into the 2022 NASI program, that I will participate in all program events and activities and will abide by the rules and regulations set forth by the program:
YES NO
What is your tshirt size?:

The application for the VIRTUAL 2021 NASI program is now open!

Deadline to apply is May 1, 2021.

If you have any questions about the 2021 Summer Institute session, please contact the program coordinator:

- Reinette Redbird Tendore, reinette@uwyo.edu