RIC McNair Interest form

1

Name* This field is required.

First Name

Last Name

2

Pronounsex: She/Her/Hers

3

RIC ID#* This field is required.

4

Phone Number* This field is required.

Please enter a valid phone number.

5

RIC Email* This field is required.

example@example.com

7

Anticipated Graduation year * This field is required.

8

Current Major * This field is required.

9

Do you identify as Black, Indigenous or a Person of Color?* This field is required.

YESNO

10

Please select the race or ethnicity with which you identify* This field is required.

select all that apply

11

Are you the first in your family to go to college?* This field is required.(Neither parent/guardian obtained a four-year degree in the United States)

YESNO

12

Did you receive a Pell grant this academic year?* This field is required.

YESNO

13

Based on this link below, are you considered low income?* This field is required.https://www2.ed.gov/about/offices/list/ope/trio/incomelevels.html

Yes

No

14

Current GPA* This field is required.

15

Are you apart of any of the following groups?* This field is required.

STUDENT SUPPORT SERVICES

HONORS

PRESIDENTIAL SCHOLAR

STUDENT ORGANIZATION

LATINX/HISPANIC SOCIAL WORK PRACTICE

OTHER

16

Which degree are you interested in pursuing ?* This field is required.

Masters

Ph.D

Ed.D

I am unsure & I want to learn more!

17

What are your current Research Interests?* This field is required.

20

Recommender to McNair ProgramName

21

Any additional comments or questions