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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. James Greenwood at 860-685-2545 or mcnair@wesleyan.edu.

Section 1. Contact Information
First Name:
M.I.:
Last Name:
WesID:
Class Year:
Email:
Wesleyan PO Box:
Address:
City:
State:
Zip:
Phone:
Family Background
Birth Date (MM/DD/YY):
Gender:	MaleFemale
Citizenship Status:
Which best describes your background?:
If Other, please specify:
If Am. Indian, please specify tribe:
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?:	NoYes
Father's (Guardian's) Name:
Father's Phone:
Father's last completed grade or degree:
Mother's (Guardian's) Name:
Mother's Phone:
Mother's last completed grade or degree:
No. of people 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:
GPA:
Advisor:
GPA in major:
Expected semester of graduation:
Semester first enrolled at Wesleyan:
Since receiving your high school diploma, have you attended any college or university other than Wesleyan?:	NoYes
If yes, list institution(s) and dates of enrollment:
Do you have a degree beyond high school?:
If yes, what type:
Degree you plan to pursue:	MSMAPhDMS/PhDOther
If Other, please specify:
Do you intend to pursue a doctoral degree?:
Do you intend to pursue a professional degree:
If so, which type?:
Name of first recommender:
Email:
Name of second recommender:
Email:
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. James P. Greenwood McNair Program 265 Church St., 4th Floor Dept. of Earth and Environmental Sciences Wesleyan University Middletown, CT 06459 Copy of income tax form Copy of financial award letter Transcript References from individuals listed in Section 3
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.:	NoYes
If accepted into this program, I agree to participate in all required McNair events, and to inform the Wesleyan McNair Program of changes in my academic program or degree plans, at Wesleyan and as I progress through graduate school:	NoYes

Application Instructions

Section 1. Contact Information

Family Background

First Generation Qualification

Section 3. Academic Program and Goals

Personal Statement