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Good Neighbor Scholarship Program (GNSP) Name: _______________________________________________________________________

Summary: myUH ID#:
Good Neighbor Scholarship Program (GNSP)
Name: _______________________________________________________________________
Last First MI
Numbers: ___________________________________________________________________
Home Cell Other
Eligibility Criteria:
(Country Codes, please see Page 3)
Country Code of Permanent Residence: ___ ___ ___
Country Code of Birth: ___ ___ ___
Country Code of Citizenship: ___ ___ ___ Code of Dual Citizenship (if applicable): ___ ___ ___
Visa Type: ____________________________ If J-1, Indicate Sponsor: _____________
Have you applied for US permanent resident status? YES NO
Met the US federal requirements for Selective Service? [______] Hold student visa
[______] Exempt from registering [______] Registered for Selective Service
How long have you lived in the Western Hemisphere? __ __ Years __ __ Months
Do you have any relatives working for the Texas Higher Education Coordinating Board?
If yes, list names and relationships: ________________________________________________


Source: Azevedo, Ricardo - Department of Biology and Biochemistry, University of Houston


Collections: Biology and Medicine; Environmental Sciences and Ecology