4/23/2007

UNIVERSITY OF MICHIGAN

HORACE H. RACKHAM SCHOOL OF GRADUATE STUDIES

Applicants who have already received a Graduate degree or are currently in a Graduate program are not eligible for a fee grant. Below is very important information regarding the Rackham Need Based Fee grant:

1.  Only U.S Citizens and Permanent Residents are eligible.

2.  An official signed document verifying the applicant’s financial status is required.

3.  Only one fee grant is allowed per applicant.

4.  This grant cannot be used for non-Rackham programs of study.

5.  If applying to multiple programs of study, you are required to pay an application fee for each additional application submitted.

UNIVERSITY OF MICHIGAN

HORACE H. RACKHAM SCHOOL OF GRADUATE STUDIES

Rackham Need Based Fee Grant Application

Name: ______

Last First Middle/Maiden

Birthdate (mm/dd/yyyy): ____ /____ /______Social Security # (optional): ______

8 digit University of Michigan ID (if the ID has been issued): ______

Rackham Department and/or Program applying to: ______

____ US Citizen, or

____ US Permanent Resident: US Permanent Resident Registration Number: ______

Current Address: ______

Number Street

______

City State Zip

______

E-Mail Phone

Current Undergraduate Institution: ______Location: ______

Major Field: ______Degree/Diploma: ______Dates Attending/Attended: ______

Date Degree Received/Expected: ______

______

Questions: Email Rackham Graduate School Approval Date