McNair Program Application

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Applicant Information

First Name*

Middile Initial

Last Name*

Sex*

Male

Female

Preferred Pronouns*

Date of Birth*

黑洞社区 ID #*

Phone #*

Email Address*

Eligibility Information

Are you a US citizen/permanent resident?*

Yes

Ethnicity (mark all that apply)*

African American/Black

American Indian/Alaskan Native

Native Hawaiian/Pacific Islander

Asian

Hispanic/Latino

White

Other

Cumulative GPA*

Student status*

Full time

Part time

Mark the statement that best describes your first-generation college student status:*

Neither of your natural or adoptive parents have received a four-year college degree.

You are from a single parent household and lived with a parent prior to the age of 18, and that parent has not received a four-year degree.

Prior to the age of 18, you did not live with or receive support from a natural or adoptive parent. In other words, you were an orphan or a ward of the court.

None of these statements apply.

Has your mother received a four-year degree from a college/university?*

Yes

Has your father received a four-year degree from a college/university?*

Yes

With whom did you reside prior to the age of 18?*

Using the linked chart (), indicate whether your family's TAXABLE income meets the TRIO low income guidelines. Note: If you are considered a dependent student, your proram eligibility is determined using your and your parent's information. Upon acceptance into the program, you will be asked to provide income verification.

Does your family's TAXABLE income meet the TRIO low income guidelines?*

Our family income is at or below the levels indicated for our family size.

Our family income exceeds the levels indicated for our family size.

Education Information

Class standing*

Freshman

Sophomore

Junior

Senior

Expected graduation date*

Major(s)*

Minor(s)

List your academic achievements or upload your current resume below

Resume upload (optional)

Which of the following best describes your commitment to attend graduate school?*

I am thinking about going to graduate school and would like to explore my options.

I am going to graduate school after working for one or two years.

I have made a firm commitment to attend graduate school immediately after receiving a bachelor's degree, but it will depend on available financial assistance.

I have made a firm commitment to attend graduate school immediately after receiving a bachelor's degree, with or without financial assistance.

I have made a firm commitment to get a master's degree, but I am unsure about a doctorate.

I have made a firm commitment to attend graduate school and complete a doctoral degree.

My highest degree objective is:*

Bachelor's Degree

Master's Degree

Doctorate of Philosophy (Ph.D)

Doctorate of Education (Ed.D.)

Medical Doctorate (M.D)

Juris Doctorate (J.D.)

What discipline will you study?*

Recommendation Letters
The applicant is required to provide the contact information of three (3) persons that can provide letters of recommendation who can address how the student's academic interest and goals make him/her well suited for the McNair Scholars Program.

Letters or recommendation viewing rights*

I voluntarily waive all rights to review the letters of recommendation.

I do not waive all rights to review letters of recommendation.

I understand that this waiver will not affect my admission or my ability to receive any services provided by the McNair Program.

Typed signature*

Date*

First Reference:

Name*

Email*

Second Reference:

Name*

Email*

Third Reference:

Name*

Email*

Personal Statement

In 300-500 of your own words, write an essay outlining your academic and career goals, your strengths and weaknesses regarding preparation for graduate study, plans to attain a doctoral degree, and how a doctorate is essential to those pursuits.

Research Interest

In your own words describe the research interest/question that will be the basis of your McNair project and proposed methods for implementing it.*

McNair research participants receive guidance from a 黑洞社区 faculty member. Do you have someone in mind who would be an ideal mentor for your research interest?*

Yes

If you answered "Yes" to the previous question, please provide the name and department for the mentor in the appropriate boxes below.

Mentor Name

Mentor Department

Additional Details

How did you hear about the McNair Program?*

Certification
All application components must be completed to receive full consideration. Students who move to the final step of the application process will be asked to provide a physical signature to the certification statement below and provide income verification prior to official program acceptance.

I certify that all of the information provided on this application, including financial and family documentation, is true and correct to the best of my knowledge. I authorize the McNair Scholars Program to have access to my school records and understand that these records may be used for Program purposes.

Type Name*

Date*