Program Application – The NONA Project

Student Registration:

We’ll review each application and decide on next trip’s students by Summer 2022.

Step 1 of 3 - Student Information

First Name*
Last Name*
Phone*
Email*
Birthday*
Month
Day
Year

Parent / Guardian First Name*
Parent / Guardian Last Name*
Parent / Guardian Phone*
Parent / Guardian Email*

Describe your ideal future and life.
Do you have any passions or hobbies?
What career(s) are you interested in?
Who is someone you look up to and why? It can be someone you personally know or someone who is in the media.
If you could change anything in your life right now, what would that be?

Help the youth of the Apache reservation prosper, Donate Now!