MURAP APPLICATION FOR SUMMER 2017

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Default Question Block MURAP APPLICATION FOR SUMMER 2017 Eligibility Answering "NO" to any of the following questions will cause you to be ineligible to particpate in the program. Are you a U.S. citizen, U.S. Permanent resident, U.S. national, or have received protected status? Are you currently classified as a sophomore or a junior? After the 2016 2017 academic year, will you have at least 12 credit hours to complete before your undergraduate degree is conferred? Since you have answered "NO" to at least one of the previous questions, you will not be eligible to participate in the program. Click the next button to exit the application. Block 1 Personal Information Name First Name Last Name Middle Name Enter "none" if no middle name Preferred Name

Birth Date Please enter in the following format: mm/dd/yyyy Gender Male Female Other (Please specify) Pronouns Ethnicity Select all that apply Black or African American Latino/a or Hispanic Caucasian/White Asian/Pacific Islander Native American or American Indian Other (Please specify) State your ethnicity Block 2 Contact Information Street Address City State

Zip Code Phone Enter your phone number in the following format: (###)### #### Alternate Phone Enter an alternate phone number in the following format: (###)### #### Permanent Address (if different from above) Permanent Phone (if different from above) Email Address Please enter an email address Alternate Email Address Please enter an alternate email address Block 3 EDUCATION Name of Undergraduate Institution

Undergraduate Major(s) Enter your major or majors Minor(s) Enter your minor or minors, if applicable Cumulative GPA (as of the date of submission of this application) Please enter your cumulative GPA to two decimal places, e.g., 3.67, 4.00, etc. In the 2017 2018 academic year, what will be your class standing? Junior Senior Anticipated Graduation Date December 2017 May 2018 December 2018 May 2019 Credit Hours Completed/Total Hours required to graduate e.g., 80/120 Are you an MMUF scholar? If you are currently at an MMUF school, are you currently applying to be a Mellon Mays Undergraduate Fellow? N/A

N/A Are you a McNair scholar? Honors and Awards Describe any honors or awards that you have earned. Previous Research Experience Describe research topic, location, advisor and start and end dates. Which of the following exams do you plan to take? Select all that apply. GRE MCAT LSAT GMAT ne of the above Block 5 Personal Statements Please address in no more than 500 words why you are applying to MURAP and what you hope to achieve as a participant in the program. This statement should include the following: 1. A description of your research interests. Please describe as concisely and informatively as possible one or more lines of investigation for the summer project and demonstrate your suitability to undertake it. 2. A discussion of your commitment to pursue a PhD, the degree program(s) in which you intend to enroll, and your desired career path, especially your interest in teaching at the college or university level. 3. An examination of what you consider to be your strengths and weaknesses, and what you expect to

bring to the MURAP learning community and summer experience. Please draw on your personal background and set of identities and experiences to explain how you will be a valuable member of the 2017 student cohort. Essay I Please describe in no more than 500 words the concrete ways (i.e., coursework, volunteer work, life experiences) in which you have demonstrated an interest in diversity and in working with racially and ethnically underrepresented communities. Once you have reached your career goal, how would communities of color benefit from your presence and position? Essay II Block 6 References Enter the names and email addresses of two (2) faculty members who have agreed to submit a letter of recommendation on your behalf. We will contact the faculty members directly for their recommendations. Please do not ask them to mail their recommendation letters to MURAP. Reference 1 First Name Last Name Email Address Reference 2 First Name Last Name

Email Address I hereby waive my right to view this recommendation. Block 4 Acknowlegement I certify that all of the above information is true and complete to the best of my knowledge. Signature (please enter your name) Date 11/3/2016 NOTE: Please make sure that you hit the "Submit" button only when you are ready to submit your application. Once you have submitted your application, you will no longer be able to access it. Your responses in the current page WILL NOT be saved unless you hit the "Save and Continue" button.