Northern Arizona University - Personal Advantage In-State Application
Personal Information
Please enter your full legal name in the area below.
First Name Jerome
Preferred First Name (If different than first name
listed above)
How is my preferred name used for the admission application?
Middle Name
Last Name Gatlin
Sex for Compliance Purposes Male
How is my sex and gender identity information used for the admission application?
What are your gender pronouns? he/him/his
How does Northern Arizona University acknowledge the pronouns I prefer to use?
Feel free to share more about your gender Male/Man
identity (optional).
How is my sex and gender identity information used for the admission application?
Date of Birth 07/25/1992
Email Address [Link]@[Link]
Home/Permanent Address
Address 10312 n 9th ave
Apt. # 2
City Phoenix
Country United States
State/Province Arizona
Postal Code 85021
Is your mailing address the same as your Yes
home/permanent address?
Contact Information
Home Phone --
Cell Phone 480-972-0989
[X] I give permission to Northern Arizona University to send me important updates via text messaging. (Standard message
charges apply.)
Citizenship
Are you a U.S. citizen? Yes
Social Security Number XXX-XX-XXXX
Your Social Security number is required to receive financial aid or be considered for scholarships. The IRS requires that we report your Social Security
number on the 1098T tax form, which is used for Educational Tax Credits.
[ ] Check to decline Social Security number entry.
Military Status
Indicate your military status. None of the above
Indicate your military status to receive special benefits, such as early enrollment. Find a full list of services and resources for veterans and military students
at [Link]/veteran-and-military-services.
Ethnic/Racial Background (optional)
If you wish to be identified with a particular ethnic group, please select the choice that most accurately describes your heritage.
No information you provide will be used in a discriminatory manner.
Are you Hispanic or Latino? No
Select one or more of the following races:
[ ] American Indian or Alaska Native
[ ] Asian
[ ] Black or African American
[ ] Hispanic or Latino
[ ] Native Hawaiian or Other Pacific Islander
[ ] White
Supplemental Questions
Is your annual household income $65,000 or No
less?
Will verify with the Free Application for Federal Student Aid (FAFSA).
Did either of your parents or guardians No
graduate from a four-year college or university?
Did either parent, grandparent, or guardian No
graduate from Northern Arizona University?
Are you a current or former foster youth, and No
are you interested in receiving resources?
Are you or have you been dual-enrolled? No
Dual-enrolled definition: You are currently enrolled at or have previously attended a college or university while in high school.
Your Plans
When do you plan to enroll? Spring 2025 (starting in January)
This application is valid only for the term you select.
Program of Interest Political Science
Are you interested in the Honors program? No
Learn more about our honor college.
High School
Name Dobson High School
Address 1501 W GUADALUPE RD
City MESA
State/Province AZ
Postal Code 85202-7575
Country US
Graduation Date 07/
When you graduate, will you have attended this No
high school for two years?
Were you homeschooled? No
If you didn't graduate with a diploma, did you Yes
receive a GED?
The GED is a high school equivalency diploma that shows you passed four high school equivalency tests, demonstrating you have the same knowledge as a
high school graduate.
Date GED Received 03/2008
Test Scores (optional)
The submission of your standardized test scores is optional, and not required for an admission decision or scholarship
consideration. Your Personal Advantage Application will be considered equally either way.
SAT
Do you want to self-report an SAT score? No
ACT
Do you want to self-report an ACT score? No
Parent/Guardian Information
Providing parent/guardian information can assist NAU in properly assigning a residency status at the time of application.
Are you 25 years of age or older? Yes
Family Members
Relation 1
Relationship to You Mother
First Name Regina
Middle Name
Last Name Gatlin
Email Address
Phone --
Address 10312 n 9th ave
Apt. #
City Phoenix
Country United States
State/Province Arizona
Postal Code 85021
Employer Name
Job Title
Highest Education Level
College Name
Almost finished, Jerome!
After you click the Submit button, you'll be able to:
Print a copy of your submitted application.
Submit your required completion materials so your application can be considered complete.
Final Steps
[X] I authorize the release of my admission application, enrollment, and/or academic information from NAU to an Arizona
community college for the purpose of creating a seamless pathway for transfer, admissions, and credit evaluation. I
authorize the release of my academic information from any previously attended college for the purposes of credit
evaluation to determine my eligibility to receive an associate degree or other credential awarded by an Arizona
community college. This authorization may be rescinded post application submission by contacting the NAU Student
Service at 928-523-9501 or ServiceCenter@[Link].
I consent to conduct electronic transactions or Yes
agreements with NAU. These may occur any
time during my academic career and include
communications and actions related to
admissions, financial aid, student accounts,
registration, and advising and may involve
financial obligations. I agree that my electronic
signature shall serve as the same authorization
as a physical signature. Electronic signatures
include any combination of electronic
characters or sounds used by me with the
intent to sign.
[X] I represent that the information provided in this application is correct and complete. I understand that if I am found to
have made false or misleading statements on this application, or have omitted any required information, I may be
subject to discipline, including cancellation of my application or dismissal from the university. I understand that I am
responsible for submitting all official transcripts from prior institutions to the university. If necessary, I grant Northern
Arizona University permission to obtain official transcripts from all schools I have attended on my behalf.
[X]
I confirm that the information, listed below, is accurate and up to date.
First Name: Jerome
Last Name: Gatlin
Email Address: [Link]@[Link]
To update any of this information, prior to submitting your application, return to the Personal Information section located on the About You page.
Non-Discrimination Equal-Opportunity Statement
Northern Arizona University is committed to equality of educational opportunity. NAU does not discriminate in offering access to
its educational programs and activities on the basis of protected categories: sex, race, age, color, national origin, religion, sexual
orientation, gender identity, disability, veteran status, or genetic information. The Equity and Access Office (Old Main, Room 113
Building 10; PO Box 4083, Flagstaff, AZ 86011, (928) 523-3312; equityandaccess@[Link]) has been designated to handle
inquiries regarding the NAU's non-discrimination and harassment policies. Retaliation for making a complaint or participating in
the complaint process is expressly prohibited.
