McNair Scholars Early Identification Program Application

Name *

First Last

Student ID Number *

Email Address *

Address *

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number *

Date of Birth *

Place of Birth *

Citizenship *

U.S. Citizen
Permanent Resident
Other Other Other

Do you identify ethnically as hispanic or latino? *

Yes
No

How do you identify racially? (check all that apply, you must check at least one box) *

American Indian/Alaskan Native
Asian
Black/African American
White
Native Hawaiian/Pacific Islander
Other

What is your primary language? *

What other languages do you speak regularly?

On your FAFSA, are you an independent student? *

Yes
No

What was your taxable income on your most recent tax form? *

How many dependents did you claim? *

What was your parent's taxable income on their most recent tax forms? *

How many dependents did your parents claim? *

How many hours per week do you work on average? *

Highest level of education earned by your mother *

Highest level of education earned by your father *

Name of relative or permanent contact *

First Last

Address of relative or permanent contact *

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are you currently enrolled at Boise State? *

Yes
No

Current Major *

Degree sought *

Bachelor of Arts
Bachelor of Science

Expected graduation date *

Total credits earned *

Current class standing *

Cumulative GPA *

GPA in major field of study *

GPA from the most recent semester completed *

Are you a transfer student to Boise State? *

Yes
No

If you are a transfer student, from what institution are you transferring from?

Date of first enrollment at Boise State *

Date of first enrollment at in college *

Name of your academic advisor *

First Last

When did you last meet with your academic advisor? *

Which fields of graduate study interest you? *

Highest degree objective *

Have you participated in any of the following programs? *

TRIO Educational Talent Search
TRIO Upward Bound
TRIO EOC
TRIO Rising Scholars (formerly Student Success Program)
CAMP
N/A

Have you given any thought to which graduate programs you might attend? Please list them here: *

If you have prior research experience in a university setting, briefly describe your tasks and accomplishments and name the professor(s) with whom you worked: *

McNair Scholars Early Identification Program Application

TRIO McNair Scholars Program