Please Fill Out Application Completely ONE TIME ONLY. Please Fill In All Fields To The Best Of Your Ability Think About Your Responses CAREFULLY As It Is Very Important To The Selection Process. Based On Information Submitted, You May Be Requested To Provide Additional Documentation At A Later Date. Once You Hit "SUBMIT TO..." Your Online Electronic Application Is Automatically Received By McNair Scholars Program. Application Confirmation Of Receipt Will Follow At A Later Date. Please Contact Us Within Two Weeks Of Submitting Your Application If You Have Not Received A Response As To The Status Of Your Application. The McNair Scholars Program Is Currently Accepting Applications For The 2007-2008 Academic Year. Application Deadline: Until All Slots Are Filled. General Information: Today's Date: (mm/dd/yy) Last Name: First Name: Middle Name (Or Initial): I'm A United States Citizen OR I Meet Residency Requirements For Federal Student Financial Assistance: Yes  No  Are You a NEVADA Resident? Yes  No  STATE Of Legal Residency (If Not Nevada): COUNTY (NOT COUNTRY) Of Legal Residency: (For All States) Local (Mailing) Address: City/State/Zip: Home Number: Cell Number: Work Number: Best Contact Phone: Home  Cell  Work  Electronic Mail Address: Permanent Address: (If Different From Above) City, State and Zip: Emergency Number: Emergency Contact Name: Relationship: Demographic & Eligibility Information: Date Of Birth: (mm/dd/yy) State of Birthplace: Gender: Male  Female  Ethnicity: American Indian  Alaskan Native  Asian  Black or African American  Hispanic or Latino  White  Native Hawaiian or Other Pacific Islander  Other/Please Specify   Marital Status: Married  Single  What Is Your Current Tax Filing Status? (2005 Taxes) Please Review Carefully. DEPENDENT: I am under 24 AND/OR I am not married AND/OR I do not have children of my own  INDEPENDENT: I am 24 or older AND/OR I am married AND/OR I have children of my own (Married or Single)  *Taxable Income For Parents (if DEPENDENT), or for Self (if INDEPENDENT). Established (February, 2007) By The U.S. Department of Education. *Taxable Income is Your NET Income AFTER All Calculations Have Been Deducted From Your Gross Income. DOES NOT APPLY  Self Only, Less Than $15,315.00  2 Members, Less Than $20,535.00  3 Members, Less Than $25,755.00  4 Members, Less Than $30,975.00  5 Members, Less Than $36,195.00  6 Members, Less Than $41,415.00  7 Members, Less Than $46,635.00  8 Members, Less Than $51,855.00  Do Either Of Your Parents/Guardian Hold A (4 YR) Bachelors Degree? Yes  No  If Yes To Parent Degree, Institution Graduated From: Academic & Eligibility Information: Are You Now, Or Have You Ever Been A Participant Of Another Department of Education (Title IV) Program? Yes  No  Of Which Program Were You A Participant? Educational Talent Search  Educational Opportunity Center  Gear Up  Upward Bound  TRiO Scholars Program (Student Support Services)  Other  How Did You Learn About The McNair Scholars Program? Year Graduated High School: High School Degree Method: Diploma  GED  List Name(s) of all Colleges and Universities You Have Attended: (If It Does Not Apply, Leave Blank.) Institution: GPA: From Date: To Date: Institution: GPA: From Date: To Date: Institution: GPA: From Date: To Date: Do You Hold A (2 YR) Associates Degree?: Yes  No  Are You An Undergraduate Student?: If You Are Not An Undergraduate Student, STOP. You Are Not Eligible For Services. Yes  No  If Yes, What Year Are You? (Current Semester) Sophomore  Junior  Senior  Enrollment Status: (Current Semester) Full Time (12 Credits or More)  Part Time (6 - 11 Credits)  Less Than Part Time (1 - 5 Credits)  Credits Earned To Date at the University of Nevada, Reno (End Of Spring 2007) If Not Applicable, Enter THE WORD "Zero" What Is Your Current Cumulative GPA at the University of Nevada, Reno? What Is Your Declared Academic MAJOR at the University of Nevada, Reno? What Is Your Current Cumulative GPA at the University of Nevada, Reno FOR YOUR MAJOR? What Is Your Current Academic MINOR at the University of Nevada, Reno? When Do You Expect To Graduate From the University of Nevada, Reno? What Is Your Graduate School Objective? (Check One) I Am Thinking About Attending Graduate School After Working One Or Two Years To Explore Options.  I Have Made A Firm Commitment To Attend Graduate School After Working One Or Two Years.  I Have Made A Firm Commitment To Attend Graduate School Upon Completion Of My Baccalaureate Degree, With Or Without Financial Aid.  Other Graduate School Objective (Specify): Are You Interested in Research at the Graduate Level? Yes  No  What is the Highest Degree Objective You Seek? (Check One) Master's Degree Only  Firm Commitment To Get A Master's Degree, But Unsure About A Ph.D.  Academic Doctorate (Ph.D., Ed.D.)  Professional Doctorate (J.D., M.D., D.V.M., etc.)  Uncertain About Degree Type  Other Degree (Specify)  What Is Your Proposed Field of Graduate Study? Are There Programs At Particular Universities That Interest You? If So, Please List. List Any Research Experience You Have Had. Include Dates, Supervisor(s)/Mentor(s),and Research Outcomes Such AsPublication(s), or Public Presentation(s) or Research Results: List Any Academic Honors, Distinctions,or Scholarships You Have Received At The College Level, Including Dates: What Are Your Career Goals? External Obligations: If Selected For The Program And Provided A Research Stipend, Will You Be Available For The Seven-Week, Full-Time, 2008 Summer Research Internship? Yes  No  What Financial, Familial, Or Personal Responsibilities Do You Have That Might Interfere With Your Participation In The 2008 Summer Research Program? Types of Support That Will Help You Succeed In College: (Check All That Apply) Assistance With Technical Writing  Tutoring In Academic Courses  Intensive GRE PReparation  Computer Skills Needed For Graduate Study  Graduate School Information, Graduate School Searches & Application Processes  Assistance Identifying Financial Aid  Time Management  Goal Setting  Presentation Skills/Powerpoint  Other Support (Specify):  What Are Your Reasons For Wanting To Participate In The McNair Scholars Program? Careful Consideration Will Be Given To Your Response, As We Can Only Serve A Limited Number Of Students. Students Must Be Eligible For Program Services. Eligibility Checklist Review: FINAL CHECKLIST: (Check All Areas That Apply) *Low-income is defined by the Federal government using the family’s 2006 taxable income from IRS Form 1040 line 42 or IRS Form 1040A line 27 or IRS Form 1040EZ line 6. See table below. (If you are under the age of 24, you are considered a dependent and the university will use your parent’s income to determine your financial status. Exceptions are made for married students, students with dependent children, and students who are wards of the court.) **First-generation in college is defined by the federal government as a student who has not resided with or received primary support from a parent who has received a bachelor’s degree. ***The following ethnic and racial groups are traditionally underrepresented in graduate education: Black (non-Hispanic), Hispanic/Latino, and American Indian / Alaskan Native. I Will Have Completed At Least 30 Units But Not More Than 92 Units by May, 2007.  I Will Have a Cumulative GPA of 2.90 or Above  I Am a Low-Income* AND First-Generation** College Student OR Traditionally Underrepresented***  I Am a US Citizen or Permanent Resident (Must Be Eligible For Federal Financial Aid)  I Am Currently Enrolled FULL TIME at the UNIVERSITY OF NEVADA, RENO  I Expect to Graduate from the UNIVERSITY OF NEVADA, RENO With a Bachelor's Degree  I AM Interested in Attending Graduate School  ELIGIBILITY DOCUMENTATION: I understand if I am selected and contacted for an interview with the McNair Scholars Program, I must supply federal income documentation on or before the interview, which is required by the U.S. Department of Education. I understand documentation must consist of 2006 Federal Income Tax Return Copies (1040 Side 1 & 2 ONLY):      1. (First Tax Page Only): Showing me/applicant claimed as           DEPENDENT/INDEPENDENT and           TOTAL # of exemptions on claim.      2. (Second Tax Page Only): Showing (After Deductions)           NET INCOME/TAXABLE INCOME I understand a parent signature will need to be supplied to the McNair Scholars Program to verify this information. (Only If I am a Dependent Student.) I understand any services I am eligible for cannot begin until my participant file is complete. I understand any financial assistance available as a result of my continued participation with the McNair Scholars Program will be contingent upon receipt of these required documents. I understand if I am accepted into the McNair Scholars Program, I must abide by the guidelines set forth. I understand a Participant Contract of Commitment will be presented to me at the time of my entrance into the program. *Applicant Initials: INFORMATION CERTIFICATION: I certify that all information provided herein is complete and accurate to the best of my knowledge. I understand that any misrepresentation may be cause for refusal of selection. I realize that financial awards under the McNair Scholars Program are subject to receipt of Department of Education funding by the University of Nevada, Reno. I understand that, if I am selected to receive the summer research stipend, I will adhere to and satisfy all conditions of the McNair Scholars Program. Additionally, I give permission to use my name and addresses for purposes that the McNair Scholars Program deems necessary to track my financial aid status, enrollment, and academic progress, as required by the U.S. Department of Education. *Applicant Initials: STATEMENT OF CONFIDENTIALITY: The information requested is required by the U.S. Department of Education under the authority of the Higher Education Act of 1965. It is used solely for the determination of the applicant’s eligibility for the University of Nevada, Reno McNair Scholars Program. It will be treated with full confidentiality. I authorize the McNair Scholars Program to access my records at the University of Nevada, Reno for program purposes. All information provided on this application is accurate to the best of my knowledge. *Applicant Initials:

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This Federal Program Is Funded At $231,000.00 Annually By The U.S. Department Of Education.

University of Nevada, Reno
Site maintained by Lisa Ely, McNair Scholars Program
              Page last updated October 25, 2007