Fillable 2017 18 Mc Nair Application (Wichita State University)

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2017 18 Mc Nair Application (Wichita State University)

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Ronald E. McNair
Post-baccalaureate Achievement Program
Wichita State University
2017 - 2018 Participant Application
“Whether or not you reach your goals in life depends entirely on how well you prepare for them and how badly you want them.
You’re eagles! Stretch your wings and fly to the sky.”
- Dr. Ronald E. McNair
What is the McNair Scholars Program?
Eligible sophomores, juniors and seniors may now explore the advantages of pursuing graduate education through the
Ronald E. McNair Post-baccalaureate Achievement Program (McNair Scholars Program) at Wichita State University. The
Program offers research participation, scholarly experiences and preparation for graduate school. Students are
encouraged to pursue graduate study in preparation for careers as college-level professors and researchers. The Program
focuses on serving first-generation students with limited income and student populations underrepresented in graduate
education, such as African American, American Indian/Alaskan Native, Hispanic/Latino and Native Hawaiian/Pacific
Islander.
What are the advantages of participating in the McNair Scholars Program?
The following activities are planned for students participating in the McNair Scholars Program:
Ø Undergraduate research participation with a professor through the Research Component
Ø Faculty-led seminars for graduate school preparation
Ø Graduate Record Examination (GRE) preparation
Ø Counseling to identify financial aid for graduate school, including assistantships and fellowships
Ø Assistance completing graduate school applications and writing effective personal statements
Ø Support to attend national conferences and opportunities to present research
Ø Campus visits to other universities and graduate school programs
Ø Publication opportunities in the WSU McNair Journal of Research Reports
Ø Mentoring with prominent WSU faculty
Ø Tutoring for courses and the development of writing skills
How do I apply for the McNair Scholars Program?
Students must meet the following criteria:
1. Have completed a minimum of 40 credit hours by Summer 2017, with reasonable plans for completing your degree
2. Be currently at
tending Wichita State University as a full-time student enrolled in a minimum of 12 credit hours
3. Have a minimum cumulative GPA of 2.75 or a GPA of 3.00 or better in the last 60 credit hours
4. Must be a U.S. citizen or a permanent resident of the United States
5. Neither of your parents have received a four-year college degree or be eligible to receive the federal Pell grant
6. Be a member of an ethnic group underrepresented in graduate education, i.e. African American, American
Indian/Alaskan Native, Hispanic/Latino and Native Hawaiian/Pacific Islander
**Participants of Student Support Services and Disability Support Services are strongly encouraged to apply.**
To submit an application package, please send the following by Monday, April 28, 2017:
ü Completed McNair Scholars Program application along with a personal statement and research proposal
ü Current
(unofficial) transcript
ü Copy of applicant's and/or parents’ filed 2016 Federal Income Tax Return doc
uments
ü Three re
commendation letters/forms, any combination of those listed below:
• one (1) from a teaching faculty member in your department
• one (1) from an academic adviser or college counselor
• if you are a former TRIO participant, one (1) from your TRIO counselor/director
• one (1) from a work supervisor
Submit all application materials to:
McNair Scholars Program • Wichita State University • 1845 N. Fairmount • Campus Box #199 •
• Wichita, KS 67260-0199 • mcnairscholars@wichita.edu • phone: 316-978-3139 • fax: 316-978-3439 •
2016-2017 McNair Participant Application
2
Ronald E. McNair Post-baccalaureate Achievement Program Participant Application
Please Print Neatly or Type
I. APPLICANT INFORMATION:
Social Security #: Date of Birth: WSU ID #:
Name:
Last First Middle
Address:
Street
City State Zip Code
Telephone: Home ( ) Work ( ) Cell ( )
Email: Fax:
II. ELIGIBILITY:
Citizenship Ethnicity (mark all that apply) Gender
U.S. Citizen African American/Black Male
Permanent Resident Alien Number American Indian/Alaskan Native Female
# Asian
(provide a copy of your alien registration card) Hispanic/Latino
Native Hawaiian/Pacific Islander Status
Place of birth White Full-time
Other Part-time
Past TRIO Participation (or like programs) (mark all that apply): YES or NO
Communication UB Head Start Talent Search/Project Discovery
Disability Support Services McNair Scholars Program Upward Bound Math/Science
Educational Opportunity Centers Office of Disability Services Upward Bound
GEAR UP Student Support Services Veterans Upward Bound
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 college 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.
Education attainment of mother:
Highest Grade Completed Not Sure 0 1 2 3 4 5 6 7 8 9 10 11 12
High School Diploma General Educational Development Test (GED)
College Degree Earned No Degree Associate’s Bachelor’s Master’s Doctorate
Education attainment of father:
Highest Grade Completed Not Sure 0 1 2 3 4 5 6 7 8 9 10 11 12
High School Diploma General Educational Development Test (GED)
College Degree Earned No Degree Associate’s Bachelor’s Master’s Doctorate
With whom did you regularly reside and receive support from before the age of 18?
Mother only Father only Both Other
Important: **submit a copy of your and/or your parents’ completed 2015 Federal Income Tax Return**
Provide the contact information of two people who will know your whereabouts at all times:
Name: Relation: Phone:
Address:
Street City State Zip
Name: Relation: Phone:
Address:
Street City State Zip
2016-2017 McNair Participant Application
3
III. EDUCATION INFORMATION: provide the following academic information and unofficial copies of your academic transcripts
Class standing at the end of Summer 2017: sophomore junior senior
Major Course of Study: Minor(s):
Cumulative: Credit Hours Grade Point Average
Major: Credit Hours Grade Point Average
Anticipated graduation date for bachelor’s degree:
List all academic distinctions, leadership activities and/or honorary achievements:
List all financial assistance you are currently receiving, including scholarships: (if available, attach a copy of your FAFSA letter)
List the names of the most recent colleges/universities you attended prior to attending Wichita State.
How did you hear about the McNair Program?
Which of the following best describes your commitment to attend graduate school? (check one)
1. I am thinking about going to graduate school and would like to explore my options.
2. I am going to graduate school after working for one or two years.
3. 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.
4. I have made a firm commitment to attend graduate school immediately after receiving a bachelor’s degree, with or
without financial assistance.
5. I have made a firm commitment to get a master’s degree, but I am unsure about a doctorate.
6. 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.
Other Doctorate
What discipline will you study?
List two (2) graduate schools/programs that are of interest to you:
1.
Institution Program City State
2.
Institution Program City State
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.
Institution GPA Date of Enrollment
2016-2017 McNair Participant Application
4
IV. RESEARCH INTEREST:
Research Proposal:
In your own words describe the research interest/question that will be the basis of your McNair project and proposed
methods for implementing it.
Provide the name and department of two (2) WSU faculty members who you believe would be ideal mentors for your research
intrest.
1.
2.
V. CHECKLIST:
Complete the following checklist to ensure you have submitted all information required to receive full consideration,
and then read the certifying statement and sign your name.
!Every question is completely answered
!Copy of your and/or your parents’ filed 2016
income tax documents
!College transcripts (unofficial)
!Letter of Recommendation Form
!Personal Statement
!Research Proposal
!Completed Pre-Needs Survey
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.
Signature Date
Ronald E. McNair: A 20th Century Hero
Education: Ronald Ervin McNair was born on October 21, 1950, in South Carolina. He graduated magna cum laude from North Carolina
A&T in 1971 with a B.S. in Physics. In 1976, he earned his Ph.D. in Physics from the Massachusetts Institute of Technology.
Professional: McNair joined the Hughes Research Laboratory as a physicist specializing in laser physics. In 1976, NASA selected McNair
for the space shuttle program as a mission specialist. He died in the Challenger space shuttle accident in January of 1986.
Achievements and Honors: Presidential Scholar, 1967-71; Ford Foundation Fellow, 1971-74; National Fellowship Fund Fellow, 1974-75;
Omega Psi Phi Scholar of the Year, 1975; National Society of Black Professional Engineers, 1979; and Distinguished National Scientist, 1979.
Personal: McNair was married with two children. He was an accomplished jazz saxophonist and a fifth-degree black belt in karate.
Ronald E. McNair “represents an outstanding role model of achievement, especially for young Black Americans,”
said the South Carolina delegate to Congress. This program is dedicated to his high standard of achievement inspired by Dr. McNair’s life.
Notice of Nondiscrimination: Wichita State University does not discriminate in its programs and activities on the basis of race, religion, color, national origin, gender, age,
sexual orientation, marital status, political affiliation, status as a veteran, genetic information or disability. The following person has been designated to handle inquiries regarding
nondiscrimination policies: Executive Director, Office of Equal Employment Opportunity, Wichita State University, 1845 Fairmount, Wichita KS 67260-0138; telephone (316)
978-3186.
2016-2017 McNair Participant Application
7
Pre – Needs Survey
Name: Grant Year: 2017 - 2018
INSTRUCTIONS: Please rate how strongly you agree or disagree with each of the following statements
by circling the appropriate box.
I. Graduate School Programming and
Planning (circle one)
Strongly
Agree
Agree Neutral Disagree
Strongly
Disagree
1. I am knowledgeable about graduate
school requirements for admission.
5 4 3 2 1
2. I am familiar with teaching careers at the
college level.
5 4 3 2 1
3. I am knowledgeable about financial aid
resources to pay for graduate school.
5 4 3 2 1
4. I am aware of the steps involved in
obtaining a doctorate (Ph.D.).
5 4 3 2 1
5. I am familiar with the importance and
impact of networking and mentoring on
professional development.
5 4 3 2 1
6. I am aware of the benefits of time
management skills to the success of
graduate school.
5 4 3 2 1
7. I am familiar with the term “Senior
Rule” and its policies.
5 4 3 2 1
8. I am confortable with writing personal
statements, vitae/resumes.
5 4 3 2 1
9. I am familiar with how to apply for
graduate assistantships/fellowships.
5 4 3 2 1
10. I am familiar with strategies for
developing critical thinking skills.
5 4 3 2 1
11. I am aware of the GRE, its contents and
test preparation resources.
5 4 3 2 1
TTOOTTAALL
II. Specific Skill Development (circle one)
Strongly
Agree
Agree Neutral Disagree
Strongly
Disagree
1. I am satisfied with my computer skills. 5 4 3 2 1
2. I have utilized the library and its
resources.
5 4 3 2 1
3. I have excellent time management skills. 5 4 3 2 1
4. I am confident with my test-taking skills. 5 4 3 2 1
5. I am comfortable with public speaking. 5 4 3 2 1
6. I am pleased with my writing skills. 5 4 3 2 1
TTOOTTAALL
2016-2017 McNair Participant Application
8
Listed below are a number of areas that may influence your studies/work as a student.
Identify the item(s) in which you may need to receive additional support.
Feel free to elaborate on any of the areas mentioned above.
III.
Research Skills (circle one)
Strongly
Agree
Agree Neutral Disagree
1. I am confident with my ability to review
literature.
5 4 3 2 1
2. I understand research methodology.
5
4
3
2
3. I am comfortable with measurement and
sampling.
5 4 3 2 1
4. I am knowledgeable regarding
experimental design.
5 4 3 2 1
5. I am comfortable with statistical analysis.
5
4
3
2
6. I understand the process of writing
scholarly research reports.
5 4 3 2 1
7. I am familiar with the steps involved in
writing for publication.
5 4 3 2 1
8. I am confident with making
presentations at conferences.
5 4 3 2 1
TTOOTTAALL
IV. Personal-Social Development
(circle one)
Strongly
Agree
Agree Neutral Disagree
Strongly
Disagree
1. I am comfortable with my interpersonal
relationships:
(i.e., parents, spouse, children or siblings).
5 4 3 2 1
2. I am comfortable with my campus
relationships:
(i.e., roommate, peers, faculty or administrators).
5 4 3 2 1
3. I have excellent budgeting skills and I am
aware of financial literacy.
5 4 3 2 1
4. I am comfortable with my housing or
living arrangements.
5 4 3 2 1
5. I have adequate resources for
transportation/insurance to attend class,
program activities and work.
5 4 3 2 1
6. I am comfortable with my employment.
5
4
3
2
TTOOTTAALL
2017-2018 McNair Participant Application
5
Letter of Recommendation Form
The applicant is required to obtain three (3) letters of recommendation (teaching faculty, academic adviser, work
supervisor, program director or counselor)
that can address how the student’s academic interest and goals make
her/him well suited for the McNair Scholars Program.
Applicants should complete the shaded area to indicate if he/she would like to waive the right to view any
and all letters of recommendation.
Also provide three names and contact information of your references and an electronic form will be sent to
them on your behalf to complete the recommendation.
Student Applicant - Please complete the following information.
Last Name: First Name: MI:
Proposed Field of Graduate Study:
! I voluntarily waive all rights to review the letters of recommendation.
! I do not waive all rights to review the 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.
Signature Date
REFERENCES/RECOMMENDATIONS:
List three people who will serve as your references and provide letters of recommendations.
Name: __________________________________ Title: ____________________________________
Email: __________________________________ Phone #: _________________________________
Name: __________________________________ Title: ____________________________________
Email: __________________________________ Phone#: _________________________________
Name: __________________________________ Title: ___________________________________
Email: __________________________________ Phone#: ________________________________
Application deadline is Monday, April 28, 2017.
• McNair Scholars Program • Wichita State University • 1845 N. Fairmount • Wichita, KS 67260-0199 •
• www.wichita.edu/mcnair • phone: (316) 978-3139 • fax: (316) 978-3439 •
1.
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