Application Part 1

Personal and Academic Information

Siena Heights University

McNair Scholars Program

1247 E Siena Heights Dr

301 Sacred Heart Hall

Adrian, MI 49221

mcnair.sienaheights.edu

mcnair@sienaheights.edu

This application is an important opportunity to exhibit your timeliness and commitment as a potential McNair Scholar.

Please ensure that you submit the full application within one week after that meeting. If you run into any difficulties meeting this deadline, please contact McNair Staff for guidance.

Statement of Confidentiality: The information required for this application determines a student's eligibility for the McNair Scholars Program. Application information is confidential within the program.

About Ronald E. McNair

Education

Ronald Erwin McNair was born October 21, 1950, in South Carolina. He graduated magna cum laude from North Carolina A&T University in 1971 with a Bachelor of Science degree in physics. In 1976, he earned his doctorate in physics from the Massachusetts Institute of Technology.

Professional

McNair started with Hughes Research Laboratory as a physicist specializing in laser physics. In 1978, he was selected by NASA for the space shuttle program to become and mission specialist. He died in the Challenger space shuttle accident in January 1986.

Scholastic Achievements and Honors

Presidential Scholar, 1967-71; Ford Foundation Fellow, 1971-74; National Fellowship Fund fellow, 1974-75; Omega Psi Phi Scholarship of the Year, 1975; National Society of Black Professional Engineers, 1979; and Distinguished National Scientist, 1979.

Ronald E. McNair "represents an outstanding role model of achievement, especially for young Black Americans," said the South Carolina delegation to Congress. This program is dedicated to his high standard of achievement.

The McNair Scholars Program is a federally funded TRIO program designed to encourage eligible students to pursue graduate studies, leading to completing a Doctor of Philosophy (Ph.D.) degree. McNair Scholars participate in research and scholarly activities, preparing them for the rigors of graduate school. Scholars receive assistance during the program through faculty mentors, graduate school visits, and presenting completed research projects at professional conferences and various research symposia.

General Information:

Legal Name:

First Name *

Middle Name

Last Name *

Preferred Name (if different from above):

Preferred Full Name

Pronouns *

If your preferred name is different from your legal name, are you okay with McNair staff using your preferred name in front of other people?

Permanent Address (when you are not living at school):

Address 1 *

Address 2

City *

State *

Zip *

Local Address (when you are at school):

Address 1

Address 2

City

State

Zip

What is your preferred mailing address? *

Mailing Address (if different from permanent or local address):

Address 1

Address 2

City

State

Zip

Miscellaneous Information:

Siena Heights School ID

School ID (Adrian College or Aquinas College if Applicable)

Cell Phone *

School Email Address *

Personal Email Address

Date of Birth *

Gender *

Preliminary Eligibility Information:

Are you a U.S. Citizen? *

If you answered no to the previous question, are you a Permanent Resident?

Do you believe that you qualify as:

Income Eligible *

First Generation *

Race:

American Indian/Alaskan Native *

Asian *

Black or African American *

Native Hawaiian or Other Pacific Islander *

White *

Other

Are you Hispanic? *

Educational Information:

Have you participated or are currently participating in any of the following (check all that apply):

Upward Bound

Upward Bound Math/Science

Veterans Upward Bound

Talent Search

Student Support Services (SSS)

Educational Opportunity Centers

Have you attended a community college or 2-year institution? *

If you answered yes to the previous question, please specify the institution name, city and state, and dates of attendance

At what institution are you currently enrolled? *

Are you available for summer participation as needed to complete program requirements? *

Current Major 1 *

Current Major 2

Minor 1

Minor 2

Cumulative GPA (if you are a first-year and you do not have a cumulative GPA, please enter "99.99") *

Earned Credits (if you are a first-year and you do not have any earned credit, please enter "999") *

Program Entry Level *

Intended Graduation Term (FA=Fall, SP=Winter/Spring, SU=Summer) *

Current Enrollment Status *

Do you intend to attend graduate school and earn a Ph.D. degree? *

Do you intend to enroll in graduate school immediately following your undergraduate graduation (no gap year)? *

Are you available at the following times for McNair Seminar: Juniors, Monday and Wednesday, 12-12:50pm; Seniors, Tuesdays and Thursday, 12-12:50pm *

Do you intend to study abroad? *

If you answered yes to the previous questions, please explain

What area(s) of graduate study interests you at this time? *

Extracurricular, Work, and/or Other Activities:

Are you, or will you, be an RA? *

If you answered yes to the previous question, list the semester(s) or academic year in which you plan to be an RA

Please list all other extracurricular, work, or other activities *

How did you hear about the McNair Scholars Program *

I agree that all information given on this application is accurate and complete to the best of my knowledge. I agree that if the information provided is willfully false, it may negatively affect my application status. *

Agreement Date *