Thank you for your interest in the Crowder College Project NOW Program!  Please complete this application as thoroughly as possible.  You cannot save and restart this application.  You may want to review the included items, take some time to make notes and gather the required documents, and then return to submit your application.  If you have any questions, please call our office at 417-455-5568.

General Information:
Last Name: *
First Name: *
Middle Name:
Date of Birth: *
Social Security Number: *
Crowder College Student ID: Number: *
Local Address, if different from below:
Local City:
Local State:
Local Zip:
Permanent Address: *
Permanent City: *
Permanent State: *
Permanent Zip Code: *
Cell Phone Number: *
Email Address: *
Gender: *
Preferred Pronoun(s):
Marital Status: *
Do you identify as Hispanic or Latino?: *
Ethnicity: *

Academic Info:
Are you a GED/HiSet Recipient?: *
GED/HiSet Score:
City/State where GED/HiSet was earned:
Month/Year when GED/HiSet was earned:
Are you a High School Graduate? *
If yes, what High School did you attend?
Cumulative Crowder GPA (if applicable):
Have you completed your FAFSA for this academic year?: *
How did you learn about Project NOW?: *
Are you Currently enrolled at Crowder College?: *
if you answered "Yes" to the above, how many credit hours have you completed?:
List other colleges/universities you have attended:

Future Educational Goals:
Future Educational Goals: *
Crowder College Major: *
If planning to transfer, what college(s)/major(s) are you considering?:

Eligibility:
Did either parent earn a 4-year (Bachelor) degree?: *
Do you have a disability which will affect you academically?: *
If you answered "Yes" to the above, please explain:
If you qualify for Project NOW based upon a disability, you must have documentation on file in the Crowder College Student Accessibility Office before acceptance into the program.
Are you a U.S. Citizen?: *
If you answered "No" to the above, are you a Permanent Resident?:
Are you eligible for Federal Financial Aid?: *
You must provide Project NOW with one or more of the following, as requested: Signed Income Verification form; signed copy of tax return(s); signed IRS tax transcript(s).  Dependent students will need to provide parental documentation as well as student documentation.

Academic Need:  Please check all that apply

My high school GPA was less than 2.50.
My high school class had less than 100 members.
I did not participate in college prep coursework.
I am unsure what I want to major in.
It has been at least 5 years since I have been in school.
I am going through an external funding agency (VR, TRA, DFS, etc.).
I was under an IEP in high school.
English is my second language.
I am currently a single parent.
I have participated in a TRIO Program.
Other Academic Need:

Sign and Submit:

I certify that the information included on this application is true, and hereby authorize Project NOW/Student Support Services to obtain copies of my college records and financial aid information for program purposes. 

Applicant Signature *
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Signature: (Type in your full name)
I agree to the terms included.

Crowder College is an Equal Opportunity educational/employment institution and is nondiscriminatory relative to race, religion, color, national origin, sex, age, and will not discriminate on the basis of handicap, race, creed, or national origin.

Project NOW/Student Support Services is a Title IV Program funded by the U.S. Department of Education. 

If yes, in what city/state did you earn your GED/HiSet? In what Month/Year?