Intern 1.pdf
Excel! Research Scholars Program
Office Use Only
Date Received
PERSONAL INFORMATION
Student ID: Social Security Number: Application Date:
Full Legal Name: First: Middle: Last:
Permanent address:
City/State/Zip:
Country:
Current address:
City/State/Zip:
Country:
Local or campus phone: Cellular phone: Email address:
|Gender: |Male |Female |Date of Birth: |Marital status: |
| | | |(Month/Day/Year) | |
Racial Ethnic Background: Please feel free to check all that apply:
|Black, Non-Hispanic |Hispanic |Native Hawaiian/Pacific Islander | American Indian or Alaskan |
| | | |Native |
|White, Non-Hispanic |Asian |Other: | |
Country of Citizenship: Country of Birth:
EDUCATIONAL INFORMATION
Are you a University of St. Thomas full-time student?
Current major(s): Degree (i.e., B.A., B.S.):
Expected date of graduation: Expected field of graduate study:
Current cumulative GPA: Current GPA in major:
Total credits completed: 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:
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Arts and Social Sciences [pic]
Applied Sciences [pic]
Which of the following best describes your commitment to attend graduate school?
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FINANCIAL INFORMATION
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|Are you currently eligible to receive financial aid? | | | | |
|With regard to the university financial aid office, what is your current status? |Yes |No |
| |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 BACKGROUND
|With 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 |Yes |No | | | |
|guardian’s tax return? | | | | | |
|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 |
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|STATEMENT OF PURPOSE | | |
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|This section of the application helps us get to know you better and to understand your research interests. | | |
Part I. Statement of Purpose:
On a separate sheet of paper, please submit a statement 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?
Part II. Research Proposal:
This year the Excel Research Scholars Program plans to target students who want to conduct research on topic of race in America. Students from any discipline are invited to apply. We want you to research a topic that is important to you pertaining to race in America. On a separate sheet of paper please provide a response to the following questions (1.5 spaced pages, 1 in margins, no word limit):
• What are your current research interests pertaining to race in America? What would you like to learn?
• Describe how previous research projects or coursework have influenced your interests on these topics.
• What are your future educational and career goals, and how might this research fit with your goals?
• What faculty member has agreed to work with you on your project? If you need assistance identifying a faculty mentor please let the program know via email well before the deadline. We will work with you to help you find one.
ADDITIONAL INFORMATION
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|Letters of Recommendation and Deadline: |
|All prospective applicants are required to secure two (2) academic letters of recommendations. Recommendations can come from high school teachers. We |
|encourage you to secure at least one (1) faculty recommendation from someone within your field of study unless you major is undecided. 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 Program gather further information as needed from offices such as Financial Aid, Registrar, and Admissions. Should the information you provide here be inaccurate 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, Mail Aquinas Hall 319, 2115 Summit Avenue, St. Paul, MN 55105 or brought to our offices, AQU 320 and AQU 322 by 5:00 pm on Friday, November 20, 2020.
APPLICATION CHECKLIST
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 & Research Proposal
Copy of Your Government Issued ID
Copy of Your University Student ID
Transcript (unofficial is permissible)
Two (2) letters of recommendation (Note: We are looking for academic recommendations. We want to learn more about your academic skills and abilities. Therefore, recommendations must come from faculty and not character references such as friends, family, employers, clergy, etc.)
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Mail: Aquinas Hall 319
2115 Summit Avenue
St. Paul, MN 55105
excelscholars@stthomas.edu
Excel! Research Scholars Program
2021 Application
Deadline: November 20, 2020
*Information in this section is for confidential demographic data only. All applicants are required to submit a Student Aid Report (SAR).
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