FRESNO STATE UNIVERSITY
BRIDGE TO DOCTORATE PROGRAM
A
PPLICATION
COLLEGE OF SCIENCE AND MATHEMATICS
4
CERTIFICATION AND SIGNATURES:
Please read the following carefully and sign only if you agree:
1. I certify that I am a U.S. citizen or Permanent Resident of the U.S.
2. I agree that I am committed to the pursuit of a Ph.D.
3. I certify that I am not currently and have not previously enrolled in a graduate program.
4. I understand that my eligibility to continue in the Bridge to the Doctorate program is contingent on
my enrollment in the Master’s program and follow the program requirements.
5. I understand that the Bridge to the Doctorate Program has a full-time minimum enrollment requirement.
6. I understand that this program will be considered full-time employment and that I cannot be employed
by any other agency or obtain any other scholarship/fellowship.
7. I understand that I will not be allowed to continue in the Bridge to the Doctorate Program if my academic
progress does not meet enrollment requirements, and semester and cumulative GPA requirements as
stated in the program guidelines.
8. I understand that if I am accepted as a Bridge to the Doctorate fellow, I am expected to participate
fully in all activities and/or seminars and provide information in a timely manner as required.
9. Upon acceptance to the program, I grant permission to the Fresno State to use my photograph, selected
quotes and/or profile information on their website and future publications.
10. I hereby certify that all statements in this application are true to the best of my knowledge
and understanding.
I authorize the investigation of all statements contained in this application and further authorize any person,
school, current, and past organizations named in this application to provide the fellowship program with
records, information, and opinions that may be useful in making a grand determination and for federal
reporting purposes. Specifically, I authorize Fresno State and UC Merced any or all information contained in
my graduate admissions application. I release all informants from all liability for damage that may result from
furnishing information and opinions, which are truthful and made in good faith to the fellowship program. I
understand that, should this application contain any false or misleading information, my application may be
rejected. In addition, the fellowship program can seek restitution for any funds expended.
PRINT Name: Date:
Applicant’s Signature: Date:
Pleaseemailacopyofsignedapplicationtorcrews@csufresno.eduPleasealsoremembertomailtheoriginaltothefollowing
address:
Ms.RonnaCrews/Dr.KrishKrishnan
ProgramCoordinator,BridgestoDoctorateProgram
SB‐70DepartmentofChemistry,
CaliforniaStateUniversityFresno
FresnoCA93740
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