Contact Information
First Name
Last Name
Email Address
Additional Information
Which Open House Session will you be attending?
Total Number of People (including yourself)
Are you a current high school student?
Yes
No
Are you interested in participating in a campus tour during the event?
Yes
No
Will you require an accommodation at the event related to a disability?
Yes
No
Please Explain
How did you hear about this event? (Select all that apply)
Parent/guardian/family member
Saw an ad on social media
School counselor/advisor
Email
Teacher
Saw a flier
Community Partner
Other
*To be eligible for the $500 scholarship, you must have a submitted application on file with NOVA.
Click here to apply:
Apply Now!
Form