McNair Scholars Program Participant Application

 

Thank you for your interest in our McNair Scholars program! 

Please complete this application as thoroughly as possible.  You cannot save and restart this application. You may want to review the included items, take some time to make notes and gather the required documents, and then return to submit your application.  A staff member will review and contact you for additional information.

If you have any questions, please email at csup_mcnair@csupueblo.edu.


General Information
First Name *
Middle Name
Last Name *
Date of Birth *
Gender Expression
Address *
Address 2
City *
State *
ZIP Code *
Home Phone
Cell Phone *
Opt-Out for Text Messaging
Email Address

McNair Scholars Program Eligibility

Which eligibility criteria do you meet?

If you do not meet at least one of the criteria listed below you should stop the application process and make an appointment to talk with a McNair staff member about program options.

First Generation: An individual whose parents did not compete a baccalaureate degree.
First Generation *

Low-Income Individual: An individual whose family's taxable income for the preceding year did not exceed 150 percent of the poverty level amount.

Follow the provided link to determine if you are considered a low-income individual: Click Here

Low Income Individual *

Underrepresented in Graduate Education: African American/Black; Hispanic; American Indian/Alaskan Native; Native Hawaiians and other Pacific Islanders

OR

A member of a group that is underrepresented in certain academic disciplines as documented by standard statistical references or other national survey data submitted to and accepted by the Secretary on a case-by-case basis

Underrepresented *
Citizenship *
Are you currently enrolled in a degree program at CSU Pueblo? *
Have you ever enrolled in doctoral level study at an institution of higher education? *
Is your cumulative grade point average at least 3.0 or higher? *
Do you have a strong desire to attain a doctoral degree? *
Ethnicity: Hispanic *
What is your race? (Select "Yes" for all that apply)
Race: Black or African American *
Race: American Indian/Alaskan Native *
Race: Asian *
Race: Caucasian/White *
Race: Native Hawaiian or Other Pacific Islander *
Other

Financial Information

Please answer the questions below to verify low income eligibility. Verifying eligibility is a requirement of the federal McNair grant. This information will be treated confidentially.

Determining Dependency Classification

Please answer the following questions:

I am 24 years of age or older. *
I am married. *
I have children or dependents who received more than 50% of their support from me. *
The university classifies me as an independent. *
I was an orphan or ward of the court or in foster care after age 13. *
I am an emancipated minor in legal guardianship. *
I am an unaccompanied minor who was homeless or self-supporting. *
I am a veteran of the U.S. Armed Forces. *

If you answered "no" to all the above questions, and are a full-time student, you are classified as a dependent.

If you answered "yes" to any of the questions you are classified as independent.

Based on the above criteria, I am considered: *

Taxable Income Information

Please answer the questions below to verify low income eligibility. Verifying eligibility is a requirement of the federal McNair grant. This information will be treated confidentially.

Taxable Income Information can be found on the following lines of your tax forms:

IRS Form 1040 line 43

IRS Form 1040A line 27

IRS Form 1040 EZ line 6

What is your family size in your household, including you? (Example: You + mother + sister = 3) *
Full Name of Parent 1/Guardian 1 (Based on tax forms IF you are a dependent)
Full Name of Parent 2/Guardian 2 (Based on tax forms IF you are a dependent)
What was your parents' or legal guardians' 2022 or 2023 TAXABLE income (NOT Adjusted Gross Income, IF you are a dependent)?
What was YOUR 2022 or 2023 TAXABLE income (NOT Adjusted Gross Income)? *
If your household DID NOT file an income tax return, what was the household income for 2022 or 2023?

Follow the provided link to determine if you are considered a low-income individual: Click Here

Are you consided low-income? *

Academic Information
Net ID (C123456789) *
Last 4 digits of your Social Security Number
CSU Pueblo Email Address *
Current Class Standing *
Current Cumulative Grade Point Average (GPA) *
When did you first begin college? *
When is your expected date of graduation with a bachelor's degree? *
Current Major *
Second Major (If Applicable)
Minor (If Applicable)
Second Minor (If Applicable)
Are you planning to enroll in a graduate school immediately after earning your bachelor's degree? *
What is the highest degree you plan to pursue? *
Have you participated in a TRIO program before? If so, which one(s)
No
Yes
Upward Bound
Student Support Services
Upward Bound Math Science
Talent Search
Educational Opportunity Center
Veterans Upward Bound
Other

McNair Scholars Program Expectations
  • Participate in Monthly Meetings/Workshops
  • Attend Advising with McNair Staff
  • Complete Graduate School Applications
  • Create and Achieve Personal Development Plans
  • Conduct Research

Are you able to commit to the above McNair expectations?

*
Which of the following types of supports would most benefit you? Check all that apply.
Graduate Student Mentorship
Summer Research Stipend
Travel to Conferences
Advising from Tenured Faculty
Travel to Visit Graduate Schools
Cultural Engagement
Leadership Training
Research Experience
Fee Waivers for Graduate School/GRE
Academic Support & Advising
Workshops Related to Graduate School
Network of McNair Scholars

How did you hear about the McNair Scholars Program?

Check all that apply.

Academic Advisor
TRIO Advisor
Professor
McNair Program Director
McNair Staff
Another Student
Website
Flyer
Other

Written Response Questions

List any membership or participation in academic/campus organizations and/or activities along with an estimate of your weekly time commitment. *
Describe any research experiences you've had and include both the project and your faculty mentor(s). If you have not taken part in a research project, describe a project you would like to pursue. *
List your three most recent volunteer or paid work experiences and the number of hours you worked per week. *
In one to two paragraphs, describe how a doctoral degree would benefit your career plans. *
How have your background and/or experiences prepared you for the rigors of our program and doctoral study? *
What do you hope to gain from the McNair Scholars Program? *

Required Documents

Please use the upload boxes below to attach a copy of your unofficial transcripts and tax forms.

If you are a dependent, please upload a copy of your parents' most recent tax forms that you used to provide info in this application.

If you are independent, please upload a copy your tax forms that you used to provide info in this application.

Unofficial Transcripts *
Tax Forms *

Sign and Submit

Applicant Signature *
Signature Type: SMS    Start Over
After validation, the cell phone number will become part of the electronic signature.
Cell Phone Number: