Need emergency funding?

Name(Required)

First Last

Email(Required)

NAU student ID number(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Student must attach all 5 documents from the list below (submit documents at the end of the form). All documents must be attached for review and funding.(Required)

Class schedule for current term (printed from LOUIE)

LOUIE account charges page

Copy of LOUIE page with financial aid summary listing award(s)

Tribal enrollment verification (copy of CIB, membership card, etc.)

Letter explaining special circumstances for funding request

NAU academic status(Required)

Freshman

Sophomore

Junior

Senior

Graduate

Major(Required)

NAU cumulative GPA(Required)

Tribal affiliation(Required)

Hometown(Required)

First time applicant(Required)

Yes

Remaining need on LOUIE(Required)

Emergency need(Required)

Tuition (for classes and/or fees)

Transportation (including travel, emergency vehicle repairs, etc.)

Housing/Rent/Utilities

Food

Health (medical, dental, vision, etc.)

Textbooks and/or supplies

Other

Other(Required)

Add total needed for All Emergency Expenses Selected Above (e.g. Rent- $680, Textbooks- $200, etc.)(Required)

Attach your signed W9 form: (download here: https://www.irs.gov/pub/irs-pdf/fw9.pdf)(Required)

Max. file size: 20 MB.

Please review the following statement and if you agree, please submit your required documents here: "I agree that the above information is correct to the best of my knowledge and I have attached the required documents. I have also used all of my financial resources including Direct Loans and I give ONAIA permission to contact the NAU Office of Scholarship and Financial Aid regarding my financial aid account." If you have problems submitting the 5 documents in the form, please email the documents to nau-nacc@nau.edu.

Drop files here or

Accepted file types: pdf, jpg, jpeg, Max. file size: 20 MB.

Phone

This field is for validation purposes and should be left unchanged.

ONAIA Yuhaaviatam Native American Student Development Fund Request