Excel! Research Scholars Program
OfficeUseOnly
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DateReceived
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PERSONALINFORMATION
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Student ID: SocialSecurityNumber: ApplicationDate:
Full Legal Name: First: Middle: Last:
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Permanent address:
City/State/Zip:
Country:
Current address:
City/State/Zip:
Country:
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Local or campus phone: Cellular phone: Email address:
Gender: / Male / Female / Date of Birth:(Month/Day/Year) / Marital status:
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Racial EthnicBackground:Please feel free to check all that apply:
Black, Non-Hispanic / Hispanic / Native Hawaiian/Pacific Islander / American Indian or Alaskan NativeWhite, Non-Hispanic / Asian / Other:
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Country of Citizenship:Country of Birth:
EDUCATIONALINFORMATION
Are you a University of St. Thomas full-time student?
Currentmajor(s): Degree(i.e.,B.A.,B.S.):
Expecteddateofgraduation: Expectedfieldofgraduatestudy:
CurrentcumulativeGPA: CurrentGPAinmajor:
Totalcreditscompleted: Total numbers of credits in progress:
Classification:Freshman Sophomore Junior Senior 5th Year Senior
List any academic enrichment programs you participate in or are applying to (e.g. Minnesota Future Doctors, Young Scholars, Aquinas Scholars, etc.):
Indicate your major field of study:
Arts and Social Sciences
Applied Sciences
Which of the following best describes your commitment to attend graduate school?
FINANCIAL INFORMATIONAre you currently eligible to receive financial aid? / Yes / No
With regard to the university financial aid office, what is your current status? / Dependent / Independent
*Note: you are independent if you filed your own tax return in the most recent year and were not claimed as a dependent on anyone else’s taxes.
FAMILY BACKGROUNDWith whom do you maintain permanent residence? / Mother / Father / Both Parents / Legal Guardian / Self-Supporting
Were you claimed as a dependent on your parent(s) or legal guardian’s tax return? / Yes / No
Did your mother graduate from a four-year college? / Yes / No / Community College? / Yes / No
Did your father graduate from a four-year college? / Yes / No / Community College? / Yes / Yes
STATEMENT OF PURPOSE
This section of the application helps us get to know you better.
Statement of Purpose: On a separate sheet of paper, please submit astatement of purpose which should be no more than 1,000 words, 1.5 spaced pages with 1 inch margins on both sides. In this essay you should discuss the following:
- Why did you decide to pursue the Excel! Research Scholars Program? How do you see the program helping you pursue your academic goals and objectives?
Personal Statement: This is a second question that allows you to express your personal interests with respect to your research interests and how you plan to use your overall academic experience to be a scholarly leader in the future and on our campus at the University of St. Thomas:
- What are your current research interests?
- Describe how previous research projects, coursework or other experiences have influenced your interests.
- What are your future educational and career goals, and how does the Excel! Research Scholars Program fit with your goals?
ADDITIONAL INFORMATION
Please list any summer 2017academic year internships, classes, work, or activities that might hinder you from fulfilling your obligations to the Excel! Research Scholars Program:
Will you be available for an 8 week, 40 hour per week paid Summer Research Institute in summer 2018? / Yes / NoLetters of Recommendation and Deadline:
All prospective applicants are required to secure two (2) letters of recommendations. We encourage you to secure at least one (1) faculty recommendation from someone within your field of study. Confidential Recommendation Forms can be found on the Excel! Program website. Request that they fill out the Confidential Recommendation Form and send them directly to the Excel! Research Scholars Program office no later than the application deadline. Recommendations received directly from prospective students will not be accepted.Letters of recommendation received late will disqualify your application.
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Signature / Date
By signing this application, you affirm that the information therein is true and correct to your knowledge. You also agree to allow the Excel! Post-baccalaureate Achievement Programgather further information as needed from offices such as Financial Aid, Registrar, and Admissions. Should the information you provide here beinaccurate or false, you understand that your application will no longer be considered, and if already admitted to the program, you could be subject to dismissal. This information will be kept confidential. Return the completed application to University of St. Thomas, Excel! Post-baccalaureate Achievement Program, Aquinas Hall 319, 2115 Summit Avenue, St. Paul, MN 55105.
You are encouraged to review your application thoroughly before submitting it for consideration. Incomplete applications will not be considered. Below is a checklist for your convenience. You are responsible for making sure that your documents, including letters of recommendation from faculty, are received on time. Letters of recommendation are confidential and must come directly from your recommenders. Recommendations coming from students will not be accepted. Make sure to sign your application for full consideration.A complete application consists of the following components:
1. Completed Application Form (make sure you have answered all questions)
2.
Student Aid Report (SAR). If you do not receive financial aid you must secure a letter from the Office of Financial Aid confirming your financial status.
Statement of Purpose& Personal Statement
Copy of Your Government Issued ID
Copy of Your University Student ID
Transcript (unofficial is permissible)
Two (2) letters of recommendation (Note: Recommendations must come from faculty not friends, family, employers, clergy, etc.)
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