Continuing NACTEP Student Application
This application is for students who are continuing another year in the NACTEP Program. Information requested on this application is condensed, and is only meant to determine updated benefit eligibility. You will need to complete a new contract. Please find the link for doing so within this form. If you have any questions please contact us at nactep@nhsc.edu or call 701-627-8092. 
Sign in to Google to save your progress. Learn more
Email *
What is today's date? *
MM
/
DD
/
YYYY
First Name 
 *
Last Name
 *
Phone Number *
Student ID# *
What is your Major?  *
What semester are you applying for?  *
What is the last semester you completed?  *
Did you successfully complete the entire last semester?  *
This means that you completed all coursework in all of your classes up to your final exams. 
If you did not complete all your coursework from last semester successfully please explain why. 
State if you had to drop a single class or if you had to withdraw from multiple classes and the reason for the withdrawal. 
Is your current Cumulative GPA 2.5 or higher?  *
Did you receive notice of warning last semester from NACTEP about your GPA?  *
Did you complete a NACTEP Academic Success Plan? 
Students who receive a warning should have established an Academic Success Plan. If you did not receive the warning please follow up. The warning comes out as a email. 
Clear selection
How many credits are you registered for? 
 *
To be in NACTEP you need to be registered Full Time (the only exception is you are in your final semester, and the credits you need are less than FT) FT Matters for scholarships as well so please keep that in mind for planning. Please E-mail your PDF schedule to nactep@nhsc.edu the schedule should show your major, advisor, and the amount of credits you are enrolled in. FT in summer is 6 credits but you will be allowed to take one course in summer but you must be FT during the Fall and Spring semesters.
How many more semesters or credits do you have to finish until you graduate? 
 *
Has your current household size or household income changed? 
 *
We use this information to calculate whether or not you are eligible for the monthly stipend. you will be asked to provide verification of this. 
What is your households size? 
 *
The amount of people living in your home that you provide support for you. 
What is your current annual or monthly households income? 
 *
Please note in your response whether you are providing monthly or annual income. i.e. $10,000-Annual or $590 monthly. 
Are you paying childcare expense? 
 *
If you are paying for childcare, and you can provide proof, and there is funding available for you. You may be eligible for a small amount of assistance. If you answer yes to this question please email your proof to nactep@nhsc.edu
Have you moved to a different residence? 
 *
Which town are you living in? 
 *
Please provide proof of address by providing a document with your physical address or providing a MapQuest with Directions from your home to the college address: 301 College Drive. These can be emailed to nactep@nhsc.edu
Did you receive a supply pack for the current semester? 
 *
If you would like one please contact the NACTEP Staff to arrange for pick up. The Supply Packs includes pens, pencils, highlighters, USB Jump Drive, a notebook, and some folders to start you off for the semester. nactep@nhsc.edu. 
Did you receive a NACTEP Portfolio template already? 
 *
This is meant for you to keep throughout your NHSC journey and to help you prepare for employment. Pick one up ASAP if you haven't already. Please arrange to pick one up nactep@nhsc.edu or 701-627-8092
Have you completed NACTEP Orientation? 
 *
If not please contact NACTEP Staff to go over it. 
Are you a member of the Three Affiliated Tribes Reservation
 *
If you are a member of the Three Affiliated Tribes please complete this form as well to sign up for the MHA Education Pathways Program that will help you secure scholarship dollars for MHA students. Corey Sanders is the representative located at NHSC. https://powerforms.docusign.net/50714aee-a897-49a5-8676-e2f67bfba851?env=na3&acct=0b6b418b-b8d9-464a-afd1-2c657718f7b9&accountId=0b6b418b-b8d9-464a-afd1-2c657718f7b9 
Have you fully completed the FAFSA application for the current year? 
 *
FAFSA Tips: The Academic Year always starts in the fall i.e. Fall 2022 - Spring 2023 = 2022-2023. Please be sure to complete the appropriate academic year. The NHSC School Code is 015536. You will need to complete the FAFSA application every year that you attend NHSC. The application opens as early as October and it is best to complete it before March of the current academic year.
If you are a transfer student. Have your eligible credits been transferred toward your degree completion? 
 *
If not please let us know nactep@nhsc.edu and also check in with your advisor and the registrar to make sure that process gets underway.
Important Notes 
If you have any questions or concerns please contact the NACTEP Staff at nactep@nhsc.edu.
Disclaimer
Thank you for applying to the NACTEP Program. Please give use 5-10 business' days to process your application. Thank you for your patience. 
Tuition, Books and Fees Policy 
As of Know the NACTEP Program will not be paying for your Tuition, Books and Fees until you successfully finish the semester. 

Failure to complete semester will mean no tuition, book's and fee payments made on your student account. 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms