McNair Scholars Program

Application for the
McNair Scholar Prep Program

Name:

Student Number:

Major:

E-mail:

Classification: Freshman Sophomore Junior

Expected Graduation:

Do you plan to apply to a graduate program?
Yes No No, pursuing Law School/Med School

Are you a first generation college student(neither parent completed a bachelor's degree; or if you regularly resided with and received support from only one parent, that parent did not complete a baccalaureate degree)?

Yes No

Racial/Ethnic Background:

African-American
Alaskan Native
American Indian
Asian American
Caucasian
Hispanic-American
Other:

State reason for wanting to continue in Scholar Prep Program?

What do you hope to gain from Scholar Prep this year?