Wesleyan University - McNair Program

Wesleyan McNair Program Application Instructions

This application has three parts:

Section 1 is basic contact information.

Section 2 is about your family background and income. This information is required to determine your eligibility for this federally funded program. For the questions on financial need, you will need a copy of your family's income tax return from last year.

Section 3 is about your academic program and goals, and will include a personal statement.

If you have questions about any part of this application, contact Dr. Appel at 860-685-3258 or mcnair@wesleyan.edu.

Section 1. Contact Information

Name:

Wesid: Class Year:

Local Permanent

Email: Address:

Wesleyan PO Box: City:

Phone: State:

Zip:

Phone:

Section 2. Family Background

Birth: (MM/DD/YY)

Gender: Female Male
Age:

Citizenship

Are you a citizen:

or permanent resident:

neither:

Which best describes your background?
If Am. Indian, tribe:

If Other please specify

First Generation Qualification

Did either parent complete a bachelor's degree; or did the parent with whom you resided and from whom you received support (up to age 19) receive a bachelor's degree?   Yes No

Father(Guardian)

Father's (Guardian) Name: Phone:

Educational Level

Last Completed Grade or Degree:

Mother(Guardian)

Mother's (Guardian) Name: Phone:

Educational Level

Last Completed Grade or Degree:

No. of persons living in household:
Taxable income of the household from last year:
Where do I find this?
                line on 1040 - 43
                line on 1040A - 27
                line on 1040EZ - 6
                if no form filed enter no form filed

Section 3. Academic Program and Goals
Major:		Advisor:
GPA:		GPA in major:
Expected semester of graduation:
Do you have a degree beyond high school?	Yes No	If yes, what type:
Degree you plan to pursue:	MS MA PhD MD/PhD other, specify:
Do you intend to pursue a doctoral degree? Yes No Maybe
Do you intend to pursue a professional degree? Yes No Maybe
If so, which? JD MD MBA
Name of First Recommender:		Email Address:
Name of Second Recommender:		Email Address:

Personal Statement

Insert your personal statement below, answering the following questions: What are your academic and research interests? Why do you want to go to graduate school? How will participation in the McNair program fit into your long-range academic and professional plans? Please include any relevant research experience you may have, and other experiences you have had that will help you succeed in graduate school. [750 word limit]

Required Supporting Documents

Please send hard copies to:

Dr. Appel
Department of Biology
Wesleyan University
Middletown, CT 06459

Copy of income tax form
Copy of financial award letter
Transcript
References from individuals listed in Section 3 (reference form)

I hereby affirm that all financial and educational information listed above in this application is true and correct. I understand that any misrepresentation or false statement will make the applicant ineligible for the McNair Program.Yes No

If accepted into this program, I agree

to participate in all required McNair events
to inform the Wesleyan McNair Program of changes in my academic program or degree plans, at Wesleyan and as I progress through graduate school

Yes No