Fillable Application Mc Nair2018 (California Lutheran University)

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Application Mc Nair2018 (California Lutheran University)

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Ronald E. McNair Postbaccalaureate Achievement Program (McNair Scholars Program)

Application Due Date: Apply Now! Applications are currently being accepted until program reaches full capacity.

The Ronald E. McNair Postbaccalaureate Achievement Program (McNair Scholars Program) is a federally-

funded TRIO program under the U.S. Department of Education. Through research and scholarly activities, the

program seeks to prepare low-income, first generation students as well as students from underrepresented

groups for doctoral study.

ARE YOU ELIGIBLE FOR THE McNAIR SCHOLARS PROGRAM?

QUESTION

RESPONSE

RESULT

1. Are you a U.S. citizen or permanent resident of the

United States?

YES

Proceed to next question

Unfortunately, you are not eligible for this

program.

2. Will you be the first in your family to graduate from

college and is your household considered low-

income?

YES

Proceed to Question 4

You must be able to answer YES for Q3.

3. If you are not a first-generation college student and

from a low-income household, are you part of a

group that is under-represented in graduate

education?

YES

Proceed to next question

Unfortunately, you are not eligible for this

program.

4. Have you completed 60 college credits?

YES

Proceed to next question

Unfortunately, you are not eligible for this

program. Please apply in the future.

5. Will you graduate in May 202 or after?

YES

Proceed to next question

If you are graduating prior to May 2020,

you are not eligible for this program.

6. Do you have an overall GPA of 3.0 or higher?

YES

Proceed to next question

Unfortunately, you are not eligible for this

program.

7. Do you have a strong interest in obtaining a doctorate?

YES

Proceed to application

APPLICATION CHECKLIST

!! Completed application form

!! Statement of purpose

!! College transcript from each institution you

have attended, including Cal Lutheran

(unofficial transcripts are acceptable)

!! Copy of your financial aid award letter

! Signed Income Verification form

OR a copy of your FAFSA

!! Recommendation Letters

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Ronald E. McNair Postbaccalaureate Achievement Program (McNair Scholars Program)

Application Due Date: Apply Now! Applications are currently being accepted until program reaches full capacity.

Email McNairScholars@callutheran.edu to indicate your intent to apply so that we can keep you updated regarding

program capacity.

Email the names of your recommenders (see instructions on page 4).

Complete this form on your desktop, print, and attach your statement of purpose.

Submit the form according to instructions on page 4.

STUDENT INFORMATION

Name

Address

Phone #

Gender

Birthdate

(mm/dd/yy)

Student ID#

Major

Major GPA

Overall GPA

Are you a transfer

student?

Institution

Transfer

GPA

Current Year

Projected Grad Date

Anticipated number of credits completed at the end of Fall 2018

Have you taken a Research Methods Course in your Major?

If you have not completed a Research

Methods course, do you plan to take

the course in Spring 2020?

Faculty

Advisor

Did your mother or father (or guardian) earn

a bachelor’s degree?

If yes, who?

Are you a U.S. Citizen?

If no, are you a permanent

resident of the U.S.?

Are you eligible for financial aid?

Race/Ethnicity

(check all that

apply)

African American / Blac

Asian American

Hispanic

Native American Pacific Islander

American Indian

Alaskan Native

Native Hawaiian

White

Other:______________________________

Within what timeframe do

you plan to enroll in graduate

school after earning your

bachelor’s degree?

!! Within 3 months after graduating from Cal Lutheran

!! Within one year after graduating from Cal Lutheran

!! More than one year after graduating from Cal Lutheran

!! I do not plan to attend graduate school after graduating from Cal

Lutheran

In which programs have you participated?

!! ALLIES in STEM

!! Student Support Services

!! Talent Search

!! Upward Bound

!! Upward Bound Math & Science

How did you hear about the

McNair Scholars Program?

HOUSEHOLD INCOME

For determining income status, complete the set of questions based on whether you are considered

dependent (complete Section A) or self-supporting (complete Section B).

SECTION A: Dependent Students

What is the size of your parents’ household (including you, your

parents, and your parents’ other dependents)?

What is your parent(s) 2018 taxable income?

(Line 43 on IRS from 1040; line 27 on 1041A; line 6 on 1040EZ)

SECTION B: Independent Students (self-supported as reported to the )

What is the size of your household (including you, your spouse,

and your dependents)?

What is your 2018 taxable income?

(Line 43 on IRS from 1040; line 27 on 1041A; line 6 on 1040EZ)

Dependent Students: Obtain your parent's signature on the Income Verification form and submit with your

application or attach a copy of your FAFSA which indicates your parents' income or attach a copy of your

parents’ 2018federal income tax forms.

Independent Students: Sign and attach the Income Verification form a or attach a copy of your FAFSA

which indicates your income or attach a copy of your 2018 federal income tax forms.

FAMILY EDUCATION BACKGROUND

With whom did you regularly reside and

receive support from before the age of 18?

Mother only Father only Both

Other:

Education Attainment of Mother or Guardian

Highest Grade Completed

College degree

earned, if any

Bachelor Masters Doctorate

Education Attainment of Father or Guardian

Highest Grade Completed

College degree

earned, if any

Bachelor Masters Doctorate

I certify that the information provided in this application is true and correct.

Signature: __________________________________________________________ Date:_________________

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McNair Scholars Program Income Verification Form

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Ronald E. McNair Postbaccalaureate Achievement Program (McNair Scholars Program)

Statement of Purpose

Write a single essay addressing the following topics and attach it to your application. Please limit your

statement to a maximum of two double-spaced pages, with 1-inch margins. Use Times New Roman or Arial,

12-point font.

1. Share your educational background, highlighting your academic accolades.

2. Discuss your educational and career goals. How is earning a Ph.D. essential to your goals?

3. What Ph.D. program (major) do you intend to pursue? What are the contributions you wish to make in

your field of study, as well as your community, with a doctoral degree?

4. What motivated you to apply to the McNair Scholars Program? Discuss how your participation in the

McNair Scholars Program will help you achieve your goals.

5. Describe your research experiences at the university level, if any. Include specifics regarding your

topic, project, accomplishments, and name the faculty member with whom you worked. If you do not

have research experience, discuss topics of interest.

References (please read carefully)

! Current sophomores and transfer students need one letter from a professor, lecturer, instructor, teaching

assistant, academic counselor, or undergraduate advisor. An additional letter from a Cal Lutheran faculty

member is encouraged, but not required.

! Current Juniors are required to submit two letters of recommendation, one of which must be from a Cal

Lutheran faculty member with an earned Ph.D. We encourage you to get an additional letter from a Cal

Lutheran faculty member, but letters from a lecturer, instructor, teaching assistant, academic advisor are

also acceptable.

Directions for Submitting your Recommendation Letters:

1. Contact your letter writers, telling them that you will be applying to the McNair program (this should be

your first step towards completing your application, thereby giving your recommender ample time to

write your letter.)

2. Fill out the top portion of the recommendation form and give it to your recommender.

3. The recommender should return the form directly to the McNair Program at the address provided on the

form.

4. Provide the McNair Director with the name, email, title and department of your letter writer(s) viaemail.

(McNairScholars@callutheran.edu). In your subject line write: Reference Submission for (yourname).

5. We will send your letter writer an email with the instructions for writing and submitting your letter.

6. We will send out your email within 48 hours (M-Th) of receipt of your email. Make sure you provide us

with the name(s) and email(s) as soon as you begin your application.

Please return this form and your application and attachments to: McNair Scholars Program, Attn: Dr.

Awokoya, 60 W. Olsen Rd, MS 3800 Thousand Oaks, CA 91360 or bring to Room 114 in Swenson.

Questions? Please contact:

Dr. aAwokoya, McNair Scholars Program Director

Email: McNairScholars@callutheran.edu

Office: 805-493-34

Ronald E. McNair Postbaccalaureate Achievement Program (McNair Scholars Program)

Recommender Form

To Be Completed by Applicant: Fill in your name, your recommender’s name, and ! Check the

appropriate boxes. Sign, date, and give this form to the individual who will be writing your

recommendation letter.

I, ____________________________________________________, hereby provide permission to

_____________________________________________ to write a recommendation letter on my

behalf for the purpose of supporting my application to the McNair Scholars Program. The letter can

include

my grades my GPA my rank in class.

     

I waive my right to review this letter now and in the future.

I do not waive my right to review this letter now and in the future.

Signed_____________________________________________ Date_______________________

To the Recommender: The McNair Scholars Program is a new program at Cal Lutheran as of Fall

2017. The program has been designed to prepare selected Cal Lutheran undergraduates to pursue

graduate study toward a Ph.D. program. Students will spend the Spring semester developing

research skills while planning the research project that they will conduct during the summer under the

direction of their faculty mentors. Please attach a statement (1-2 pages) about this applicant that

addresses the following:

1. How long have you known the applicant and in what capacity?

2. What is your appraisal of the applicant’s potential as a graduate student and as a future

scholar?

3. Evaluate the applicant’s academic aptitude and preparation for graduate work, motivation for a

Ph.D., and current academic performance in his/her area of concentration.

Name (print):______________________________________ Title:___________________________

Email Address: ____________________________________________________________________

Signature: ___________________________________________ Date________________________

Please return this form and your statement to: McNair Scholars

Program, Attn: Janet Awokoya, 60 W. Olsen Rd, MS 3800 Thousand Oaks, CA 91360

Questions? Please contact:

Dr. Janet Awokoya, McNair Scholars Program Director

Email: McNairScholars@callutheran.edu

Office: 805-493-3047 Swenson, Room 114

LastName:___________________________________!

FirstName:________________ ___________________

___!