McNair Scholars Program Interest Sheet - J. Jeffrey and Ann Marie Fox Graduate School at Penn State

First Name

Middle Name

Last Name

Penn State ID Number

Penn State Email Address (abc1234@psu.edu)

Phone Number

Are you a low-income student?

Yes

Are you a first-generation student?

Yes

Current Academic Year

Sophomore

Junior

Current Cumulative GPA

Current Academic College

Current Academic Major

Total Credits Earned To Date

Projected Graduation Date (Month/Year)

Are you a Change of Campus Student?

Yes

Previous College/University

Please describe your interests in pursuing a doctoral degree (Ph.D.)

100 words left

Have you participated in an undergraduate research internship?

Yes

Specify your research internship

How did you learn about Penn State McNair? (Check all that apply):

Are/were you a participant in any of the following TRIO programs? (Check all that apply):

Are/were you a participant in any of the following Penn State programs? (Check all that apply):

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