NSO Program - TAKE Cast Application

1 Start 2 Personal Responses 3 Personal Statement 4 Complete

First Name *

Last Name *

Student ID *

CSUN Email Address *

Phone Number *

Major *

If you are a multi-major student, please list them.

College(s)

Mike Curb College of Arts, Media, & Communication

David Nazarian College of Business & Economics

Michel D. Eisner College of Education

College of Engineering & Computer Science

College of Health & Human Development

College of Humanities

College of Science & Mathematics

College of Social & Behavioral Sciences

Exploratory (Undecided/Undeclared)

select all that apply.

GPA *

Other Demographic Information *

	YES	NO	Decline to state
Domestic Student	Domestic Student - YES	Domestic Student - NO	Domestic Student - Decline to state
International Student	International Student - YES	International Student - NO	International Student - Decline to state
Transfer Student	Transfer Student - YES	Transfer Student - NO	Transfer Student - Decline to state
Identify with LGBTQ+ Community	Identify with LGBTQ+ Community - YES	Identify with LGBTQ+ Community - NO	Identify with LGBTQ+ Community - Decline to state
Deaf and/or Hard of Hearing	Deaf and/or Hard of Hearing - YES	Deaf and/or Hard of Hearing - NO	Deaf and/or Hard of Hearing - Decline to state
CSUN Legacy (family members attended CSUN)	CSUN Legacy (family members attended CSUN) - YES	CSUN Legacy (family members attended CSUN) - NO	CSUN Legacy (family members attended CSUN) - Decline to state
Commuter Student (Residence is 10+ miles away)	Commuter Student (Residence is 10+ miles away) - YES	Commuter Student (Residence is 10+ miles away) - NO	Commuter Student (Residence is 10+ miles away) - Decline to state
Residential Student (lives on campus, or less that 10 miles away)	Residential Student (lives on campus, or less that 10 miles away) - YES	Residential Student (lives on campus, or less that 10 miles away) - NO	Residential Student (lives on campus, or less that 10 miles away) - Decline to state

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