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TRIO McNair Scholars Program
Program Pre-Application
TRIO McNair Scholars Program
Dr. Ronald E. McNair Bio
Faculty and Staff Resources
Program Pre-Application
Program Services
Prospective Student
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TRIO McNair Scholars Program
Program Pre-Application
Pre Application
McNair Scholar
First Name
*
Last Name
*
Middle Initial
Campus Box
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Contact Phone
*
111-111-1111
Email
*
Gender
Male
Female
Citizenship Status
*
US Citizen/National
Permanent Resident
International Student
Ethnicity
*
African American
Asian
Alaskan/Native
Caucasian
American Indian
Hispanic
Ethnicity Continued
If you have more than one ethnic background please enter second group here
Classification
*
Freshman
Sophomore
Junior
Senior
Transfer Student?
*
Yes
No
Cumulative GPA
*
Projected Graduation Date
*
Intended Advanced/Graduate Degree
*
Master's
Doctorate (PhD, EdD)
Professional (J.D., M.D.)
Prior to age 18 where did you reside
*
Mother
Father
Both
Other
Mother's Highest Level of Education
Less than High School
High School
Some College
Bachelor's Degree
Unknown
Father's Highest Level of Education
*
Less than High School
High School
Some College
Bachelor's Degree
Unknown
Financial Aid
Dependent
Independent (at least 24, married or military)
Family's Taxable Income
*
Size of Your Household
*
Major
Faculty Advisor
Research Interest
Faculty Mentor Preferred for Summer Research
How did you hear about us?
How did you hear about us?
Faculty
Letter of Invitation
Flyer
Website
Scholar
By submitting this form you are certifying that the information provided above is true and accurate to the best of your knowledge.
*
Yes
No
TRIO McNair Scholars Program
Dr. Ronald E. McNair Bio
Faculty and Staff Resources
Program Pre-Application
Program Services
Prospective Student