New Mexico State University

College Assistance Migrant Program

Application

Thank you for your interest in the NMSU College Assistance Migrant Program (CAMP)!  Please complete this application as thoroughly as possible.  You cannot save and restart this application.  You may want to review the included items, take some time to make notes and gather the required information, and then return to submit your application. 

If you have any questions or would like help completing this application, please call CAMP Recruiter at 575.646.7341 or 575.646.5081.

This is the first part of the CAMP Application process. Our CAMP Recruiter will work with you to complete the employment verification, student questionnaire and personal statement. 

*Information must be entered to move forward.

 
Personal Information:
First Name *
Middle Name
Last Name *
Date of Birth (mm/dd/yyyy) *
Gender Identity *
Marital Status *
Street Address *
City *
State *
Zip *
Mailing Address (if different)
City
State
Zip
Cell Phone Number *
Home Phone
Email Address *
Citizenship *
Note: Only U.S. Citizens and Legal Permanent Residents are eligible for the CAMP Scholarship. 
Ethnicity/Race (optional): This information is requested by government agencies to demonstrate compliance with the Civil Rights Act.
Are you Hispanic, Chicana/o or Latina/o?
How would you describe yourself? Check all that apply.
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Family Information:
If you do not live with your parents, please provide guardian information. If parents are divorced/separated, please provide information of the parent you live with.
Do you live with parent(s)/guardian(s)? *
Parent 1/Guardian Name
Parent 2/Guardian Name
Parent(s)/Guardian Mailing Address
Address *
City *
State *
Zip *
Have either one of your parents earned a 4-year college degree? *
Emergency Contact: If other than a parent/guardian, please list the information of the person we should contact in the event of an emergency.
Full Name *
Relationship to applicant *
Phone Number *
CAMP Eligibility:
For purposes of eligibility, the term “immediate family” means: 1) A spouse, 2) A parent, step-parent, adoptive parent, foster parent or anyone with guardianship, 3) Any person who claims the prospective participant as dependent on a Federal Income Tax Return for either of the previous two years, or resides in the same household as the participant, supports that individual financially, and is a relative of that individual.
Have you or an immediate family member been employed at least 75 days in the past 24 months as a migrant/seasonal agricultural worker? *
Are you eligible to participate, or have participated, in the Migrant Education Program (K-12) while in school? *
Are you eligible to participate, or have participated, in a National Farmworker Job Program or Department of Labor Employment Workforce Innovation and Opportunity Act (WIOA). *
High School Information:
High School Name or HEP Program *
High School/GED Graduation Month/Year *
Full Name of your High School Counselor
Did you participate in English Language Learner classes in high school? *
College Readiness:
What do you plan to study? *
Are you expecting AP credit upon high school graduation? *
If yes, list the class(es):
Did you take dual credit courses in high school? *
If yes, name of college/university:
Will you have an Associate's degree upon high school graduation? *
When I start at NMSU, my enrollment status will be: *
ACT/SAT: I have taken the *
Other Information:
Have you ever received services from the Department of Vocational Rehabilitation (DVR)? *
How did you find out about NMSU CAMP? Check all that apply.
CAMP Recruiter
Family Member
MEP Counselor
High School Counselor
Current/Former CAMP Student
Community Member
Agricultural worker
NMSU/CAMP Website
Other
CAMP programming includes some travel (i.e. student leadership conferences, overnight retreats). Program T-shirts and meals are provided. 
Please list any dietary restrictions. If none, please enter "N/A": *
What is your T-shirt size? *
Acknowledgements & Signatures
My initials confirm that I understand that NMSU CAMP serves students committed to completing a four-year bachelor's degree and not an associate's degree.
Initials: *
I certify that the information provided on this application is true and complete to the best of my knowledge. I understand that misrepresentation on this application may be considered grounds for denial of admission into NMSU CAMP.
Applicant E-Signature: *
Signature Type: Simple    Start Over
Click here to start signing.
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Signature: (Type in your full name)
I agree to the terms included.
Parent/Guardian Signature (if applicant is under 18)
Signature Type: Simple    Start Over
Click here to start signing.
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Signature: (Type in your full name)
I agree to the terms included.