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First Name
Last Name
Address Information
Street Address
City
State
Zip
Email and Phone
Email Address
Home Phone
Cell Phone
What is your preferred method of communication from the McNair Scholars Program?
Email
Phone call
Text
Mail
Social Media
Other
Graduate School
Are you currently enrolled in graduate school
Yes
No
Graduate School Name
Degree Program
Years in Program
Anticipated Graduation Date
If you left graduate school mark your reasons for leaving
Academic Problems
Change in family status
Change in program
Scheduling or avilability
Military obligation
Job, needed to work or other financial reasons
Taking time off
Personal/health problems
Pursue other interests
Completed graduate program requirements
Attained master's degree and did not enroll in doctoral degree program
Consider my education complete
Other
Non applicable (currently enrolled, have yet to enroll)
Academic Degree(s)
Highest Degree
Date degree earned
University / College
Employment
Employer
Position
Acomplishments
If not currently enrolled in a graduate program, do you plan to apply in the near future?
Yes
No
The McNair Scholars Program can assist you with the graduate school application process, including assistance with fee waivers, personal statements, GRE fee waivers, and advising. If interested please indicate the area(s) in which you would like assistance.
Assistance
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