Kentucky State University | 1890 Scholarships Program Application

First Name*

Middle Name

Last Name*

Street Address*

Street Address Line 2

City*

State*

Zip / Postal Code*

Mobile Phone (include country code if outside US)*

Email*

Citizenship*

U.S.

Permanent Resident

Have you submitted a current year FAFSA (this is required for any financial aid award)*

Yes

No

If you answer No, you must submit a current year FAFSA before your application will be processed.

Biographical Sketch

Date of Birth*

(mm/dd/yyyy)

Gender*

Female

Male

Other

Gender: This information will not be used in making admission decisions; however, it is necessary for record keeping purposes.

Race*

American Indian or Alaska Native

Black or African American

Native Hawaiian or Other Pacific Islander

White

Do not wish to provide

Race: This information will not be used in making admission decisions. Check all that apply.

Ethnicity*

Hispanic

Non-Hispanic

Kentucky Resident*

Yes

No

Military Status*

Currently Enlisted

National Guard

Reserves

Veteran

None

Student Application Type*

First Time Student

Transfer Student

Current KYSU Student

What will be your housing needs for the upcoming semester?*

Option 1 - On Campus

Option 2 - Off Campus