Your answers provided to the Trailblazers Program Director will be kept confidential. First Name Last Name Date of Birth NDMU Student ID # Cell Phone NDMU Email Address High School Attended Intended Major NDMU 100 Advisor Student Type Resident Commuter Extracurricular Activities & Interests Family Information Family Information The Trailblazer program provides workshops specifically for your parents and family. Please provide a little bit of information so that workshop information may be sent directly to them. Parent(s) Name(s) Please include first and last name(s). Cell Phone Email Address Best Time to be Reached Application Questions Application Questions Please comment on your particular questions and concerns as you begin college. In what ways do you think the Trailblazer Scholars program could help you to be successful in college and to reach your goals? Additional information you would like to share with the Trailblazers Director.