NEO GOLD Program Application

1Information > 2Online Class > 3Paid Job > 4Job Information
Contact Information
Name Name First Last
NEO ID Number
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Phone
Date of birth: Date of birth: / MM / DD YYYY
Gender
What are your reasons for taking an online class? Check all that apply.

What are your reasons for taking an online class? Check all that apply. I need this class, but it's not offered at a time that I can take it on campus. I work and go to school. Taking online classes helps me to do both. I'm a student athlete, so this helps me keep up with my studies. I have a long commute, so taking online classes helps me to come to campus less. I like online classes because I get more attention from the teacher. I like online classes because I have more time to finish assignments. I like the flexible schedule of an online class. I'm not sure I will like an online class, but I wanted to try it. Other (please specify) Other (please specify)
How many classes are you taking?
What do you plan to study at NEO?
What do you like to do in your free time (please include campus activities you plan to participate in, if any)?
What is it about being part of the GOLD program that is most interesting to you? Check all that apply.

What is it about being part of the GOLD program that is most interesting to you? Check all that apply. The mentor is another student who knows how to do well in online classes. I can work with my mentor online. I want to learn better online skills so I can have an easier time balancing school and work. I need all the help I can get in school, and I will learn new ways to be a better student in regular classes and online. Other (please specify) Other (please specify)
How do you prefer to talk with your mentor?

How do you prefer to talk with your mentor? Phone call Text Message Facebook Other (please specify) Other (please specify)
Have you taken online classes before?

Have you taken online classes before? Yes No
Check all that apply.

Check all that apply. I am enrolled in at least one online course. I am enrolled in at least one hybrid course. I am enrolled in FYE.

NEO GOLD Program Application

NEO GOLD Program Application

Contact Information