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Native American Program
School of Engineering
providing services to American Indians studying engineering, science, and mathematics
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 Navajo Engineering Construction Authority (NECA)
 Norfolk State University

Personal Information
Name of Applicant
Current Address Street Address

City

State

Zip Code

County
Current Telephone Number
Email Address
Permanent Address Street Address

City

State

Zip Code

County
Permanent Phone Number

Ethnic Background
Native American/Alaska Native
Tribal Affiliation 
Census Number 
Hispanic
African American
Other
Specify: 

Educational Background
High school attended:
Year of high school graduation:
High school counselor:
High School class rank:
High school GPA:
ACT score:
Years attended UNM:
(if current student)
Major:
College cumulative GPA:
Anticipated date of graduation:
Are you a transfer student? no yes
If yes, from where?

Education History of Parents
Mother:
Father:

Honors/Scholarships
Scholarships current receiving:
Honors/awards:
Be sure to print out a copy of this for your records! It is recommened that you also print out a hard copy of your completed application and mail it to NAPCOE.

Your application is NOT complete without the signature page. Do NOT forget to mail in the signature sheet to NAPCOE.

Mail signature forms and applications to:

UNM NAPCOE
Attn: Ursula Bowie
Engineering Annex Rm. 112
Albuquerque, NM 87131