University of Montevallo - McNair Scholars Program

McNair Scholars Program

McNair Scholars Program - Pre-Application.

After submission please wait to be contacted by the McNair office before proceeding to step 2.

Please provide the following contact information:

Fields with red asterisk * are required.

First Name: *

Last Name: *

Middle Initial

Campus box #: *:

Street Address: *

Address (cont.)

City: *

State/Province: *

Zip/Postal Code: *

Contact Phone: * 111-111-1111

E-mail: *

Gender: Female    Male

Citizenship Status: *

Ethnicity : *
If more than one ethnic background please enter 2nd ethnic group here.

Classification: *

Are you a transfer student: Yes       No

Cumulative GPA:*

Anticipated Graduation Date: *

Intended advanced/graduate degree: Master's Doctorate (PhD, EdD, etc)
Professional (JD, MD, etc.)

Other

Prior to college or age 18 with
whom did you primarily reside:*
Mother   Father
Both Parents Other

Mother's highest level of education: *

Father's highest level of education: *

With regard to financial aid, are you : Dependent Independent (at least 24, married, military, have a dependent, etc.)

Family's TAXABLE Income: * (Taxable income is usually less than total
or adjusted gross income)

Size of your family household: *

Major:

Research Interest:

Faculty Mentor Preferred for Summer Research:

How did you hear about the McNair Program: Letter of Invitation Flyer Website Scholar
Faculty                   Other

By submitting this form you are certifying that the information provided above is true and accurate to the best of your knowledge. (*required)

                                                       I Agree   Disagree

First Name: *
Last Name: *
Middle Initial
Campus box #: *:
Street Address: *
Address (cont.)
City: *
State/Province: *
Zip/Postal Code: *
Contact Phone: *	111-111-1111
E-mail: *
Gender:	Female Male
Citizenship Status: *
Ethnicity : *	If more than one ethnic background please enter 2nd ethnic group here.
Classification: *
Are you a transfer student:	Yes No
Cumulative GPA:*
Anticipated Graduation Date: *
Intended advanced/graduate degree:	Master's Doctorate (PhD, EdD, etc) Professional (JD, MD, etc.) Other
Prior to college or age 18 with whom did you primarily reside:*	Mother Father Both Parents Other
Mother's highest level of education: *
Father's highest level of education: *
With regard to financial aid, are you :	Dependent Independent (at least 24, married, military, have a dependent, etc.)
Family's TAXABLE Income: *	(Taxable income is usually less than total or adjusted gross income)
Size of your family household: *
Major:
Research Interest:
Faculty Mentor Preferred for Summer Research:
How did you hear about the McNair Program:	Letter of Invitation Flyer Website Scholar Faculty Other
By submitting this form you are certifying that the information provided above is true and accurate to the best of your knowledge. (*required) I Agree Disagree