Scholarship Student Survey Name* First Last Class Year*Major(s)** Hometown State / Province / Region ZIP / Postal Code Northland Email* Personal Email* Cell Phone*College ActivitiesPlease list organizations, awards, study abroad, athletics, etc. that you are involved.Community ActivitiesPlease list volunteer work, employment, etc.Musical/Visual Arts ActivitiesHobbiesPost-Graduation PlansBy clicking SUBMIT below, you authorize Northland College to disclose this information to donors who have funded your scholarship(s) and award(s). Contact information will not be shared with the donor.EmailThis field is for validation purposes and should be left unchanged.
