STUDENT PRE- ASSESSMENT APPLICATION FORMAgency InformationNGGA agent ID *Agency name *Counselor email *Counselor name *Student InformationStudent first name *Student middle name(s)Student last name *Sex *SelectMaleFemaleProgramUndergraduateUndergraduate short term (1-4 semesters)GraduateEthnicityYorubaIgboHausaOtherStart DateWinter (January/February)Summer (June/July)Fall (August)OtherEducation HistoryHighest level of education (or will be completed at time of starting studies)Education HistoryHigh school completionSome college/universityTwo year degreeBachelors’s / undergraduateMaster’s degreePhD / Doctorate degreeLast School AttendedSchool name *Country of the school *Last School Attended *Date *MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924EarnedHigh school diplomaSome college/university creditsTwo-year degreeBachelors’s / undergraduateMaster’s degreePhD / Doctorate degreeOther schools AttendedSchool name *Country of the school *Date *MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924Major *Select *FinishedYesNoEarnedHigh school diplomaSome college/university creditsTwo-year degreeBachelors’s / undergraduateMaster’s degreePhD / Doctorate degreePlease explain any gaps longer than two months in your study history.I-20 Questions (For students applying to study in the US)SelectAre you currently studying in the US?YesNoWhich school’s I-20 are you using?Student’s AddressStreet addressState/provinceCityCountryPostal codeStudent’s Shipping AddressIs the shipping address the same?SelectYes(If yes, then do not fill the rest of the shipping address)NoStreet addressState/provinceCityCountryPostal codeStudent’s Contact InformationStudent phone number *Email Address *State/province *How would you prefer us to communicate with you?PostEmailTelephoneMigrationCountry of birthCountry of citizenshipOther citizenshipsUS residency statusNon -US residentUS resident, green card holderHow many dependants are you bringing to the US?TextName, relation, DOB, Country of birthFinancingSourceSelfParent/guardian/relativeOrganized sponsorOtherOtherHave you ever been convicted of a felony (major crime)?YesNoIf yes, explainAttachments needed for admissionsTranscripts *Choose FileNo file chosenDelete uploaded filePassport *Choose FileNo file chosenDelete uploaded fileBank statement *Choose FileNo file chosenDelete uploaded fileAffidavit of support *Choose FileNo file chosenDelete uploaded fileRecommendation Letters (optional)Choose FileNo file chosenDelete uploaded fileEnglish test results (optional)Choose FileNo file chosenDelete uploaded fileSignaturesStudent signatureChoose FileNo file chosenDelete uploaded fileConsent *By signing I, the “student”, agree to the terms and conditions as constituted on NGGA terms. By signing I, the “student”, give permission to NGGA and its trained employees to have access information on my student records which are protected. By submitting this application, I, the “agent/counselor” agree to the terms and conditions as constituted on NGGA terms.Register
