Home About NUCLEUS Resources Calendar Eligibility Staff Photos Special Announcements Additional Info University of Delaware Contact Us

Application

Interested applicants are strongly encouraged to review the eligibility requriements before filling out or submitting any application materials. To apply:

  1. Download the Application AND Download the Student Contract
  2. OR fill out the form below and click "Submit Form"
Note: If you decide to fill out the online applicaiton, also be sure to downlad the student contract.

Note: All paper applications (option 1) and contracts (both options) should be returned to Ms. Reiter.
First Name:
Last Name:
Date:
Student ID:
Gender: Male
Female
Date Of Birth:
Ethnicity:
Street:
City:
State:
Zip:
Phone:
Email Address:
Street:
City
State
Zip
Parent/Guardians Name:
Best method to contact me is: Phone
Voice Mail
E-mail
Best time to contact me:
Classification Freshman
Sophomore
Junior
Senior
Expected Graduation Year:
Major(s):
Minor(s):
How did you hear about the NUCLEUS Program? A Friend
One of NUCLEUS Staff
NUCLEUS website
A NUCLEUS event
An Advertisement About NUCLEUS on Campus
A Visit to the NUCLEUS Office
Other
The most important services / information that I wish to receive from NUCLEUS are: (Check all that apply) Time Management
Familiarity with Campus Resources
Tutoring
Advisement
Academic Support
Career Planning
Graduate School Planning
Internship / Summer Program Placements
Faculty Networking Skills
Other*:
Briefly describe your career goals:
Briefly describe your leadership activities:
Briefly describe your extracurricular activities:

create web form