Fellowships Preliminary Questionnaire (FPQ)

Full Name*

First NameLast Name

Preferred Name/Nickname

UR Email*

netID@u.rochester.edu

Permanent / Alternate Email

example@example.com

Majors(s)*

Minor(s)

Certificates

Graduation Year*

2024, 2025, 2026, etc.

Please indicate your FIRST award of interest.*

Please indicate your SECOND award of interest. (Optional)

Please indicate your THIRD award of interest. (Optional)

Please indicate your FOURTH award of interest. (Optional)

For awards for study in the UK, please indicate below your intended program of study, degree, & institution:

e.g. MPhil Chemical Biology, Cambridge

Please LIST HERE any further awards of interest, including any not listed above.

Please upload a current resume*

Browse Files

Upload your resume or C.V. here; .pdf ONLY

What is at the heart of your academic interests and what has contributed to your choice of this/these area(s) of focus? Discuss your choice of major(s) and minor(s). Include some reflection on the role of particular courses, projects, readings, professors, as well as non-academic experiences, in your decision to pursue your chosen field(s) of study.*

What are your principal academic / creative interests beyond your major(s)/minor(s)? In what way(s) do you pursue these interests?*

If relevant, please describe your Take Five, e5, or other fifth-year program and discuss why you are pursuing it.

What languages other than English do you know? How would you describe your proficiency level(s)? How did you acquire this knowledge and how do you maintain your proficiency?*

Whom do you consider to be your faculty mentors? How has this relationship helped support your growth and/or prepare you for your future? If you do not have a faculty mentor, what have been the obstacles to a mentoring relationship? What is your plan to overcome this obstacle?*

Describe any independent study and/or research you have participated in. Indicate a) where the activity occurred; b) date/duration of your participation; c) who supervised you, if relevant; e) in lay terms, your particular role or duties, results obtained, or contributions made, as relevant; f) significance of the experience in your academic and personal development, or what you gained; g) any presentations or publications of your work.*

Describe any teaching, tutoring, academic mentoring, or workshop leader experiences you have participated in during your college years. Indicate a) courses and instructors/supervisors where relevant; b) date / duration of your participation; c) significance of the experience in your academic and personal development.*

0/5000

Describe any non-research internships or other career / professional development experiences you have participated in during your college years. Indicate a) where the activity occurred; b) date / duration of your participation; c) basis of selection/how you obtained the position; d) who supervised you; e) your particular role or duties and what you consider your major contribution; f) what you gained from the experience.*

What has been your most meaningful intellectual / creative accomplishment in college thus far and why? If you have not yet had such an experience, what do you hope to accomplish in your studies beyond excellent grades in coursework?*

If you have studied or traveled abroad (including family trips), when and where did you go and why did you choose that destination? How long were you abroad? Discuss the impact of the international experience on your studies, personal growth, world outlook, post-graduate plans, and career goals. If you will study abroad in the future, indicate when, where, and why.*

Please explain the circumstances of any semester in which your academic performance did not reflect your ability.*

Please explain if there has been any interruption in your education since high school. When and how long were you away from schooling; what did you do during this time?

List merit-based awards, honors, and any other special recognition received while in college or for college. First-years and sophomores may include most significant high school honors. Please do not abbreviate award names. Indicate a) award selection criteria or purpose; b) sponsor of award or honor; c) date received and/or duration (e.g., May 2017, Fall 2016, 2017‐18 academic year).*

What are your post-baccalaureate plans? For example, if you plan to go to graduate school, indicate what you plan to study and what degree you will seek; also indicate where you’d most like to study, if you know this now. *

What profession / career do you aspire to and what problems / issues / needs in your field or society do you wish to make a difference in through your work? If you plan to seek employment rather than pursue graduate education, what kind of work do you hope to do and why is this important to you? What inspired you to pursue your chosen educational and career goals? *

Campus activities—e.g., student government, residential life, social / cultural clubs and associations, committees, political and advocacy organizations, undergraduate councils, athletics, creative/performing arts.*

Off-campus activities—e.g., community or volunteer work (specify whether or not work associated with a University group or office), leadership training, civic engagement, etc. In addition to the information requested above, indicate the full name and nature of the group or activity, how you became involved, and your supervisor.*

Reflect further on one recent particularly satisfying public service or volunteer activity in which you participate(d). What motivated your involvement and keeps you involved (if applicable)? Discuss the impact of your participation on yourself and for the intended beneficiaries.*

Reflect further on one recent specific experience or activity in which you demonstrated your leadership capacity and made a positive difference on campus or in the wider community. What was the problem or situation; what did you do to bring about change or resolution? What, if any, lasting impact was made?*

Describe any talents, hobbies, or special interests you have that are not mentioned elsewhere. How long have you been engaged in these pursuits and how often do you engage in them now?*

If not indicated elsewhere, please describe your plans for the upcoming summer.*

Some fellowships take financial need into consideration; therefore, please indicate how your education is being financed. *

Briefly tell us about your family background.*

Tell us something about you that you think others misunderstand.*

Describe an encounter with difference or diversity (in the broadest possible sense) that challenged your prior conceptions or introduced you to new perspectives; your response; what changed for you; what remained unchanged as a result of the experience.*

What knowledge, skills, or competencies (e.g., academic, practical, cultural, personal) do you hope to develop further through the fellowship exploration and application process?*

I understand that my next step is to EMAIL the Fellowships Office for an appointment at URFellowshipsAsst@UR.Rochester.edu.*

YES

If you haven't already done so or if it is from a prior academic year, please also complete the Prospective Applicant Form. Thank you!

Fellowships Preliminary Questionnaire (FPQ)

ACADEMIC INFORMATION

CO-CURRICULAR AND CAMPUS ACTIVITIES

SUPPLEMENTAL INFORMATION

PERSONAL SHORT ANSWER QUESTIONS