Graduate Tracking Form

The McNair Program is required by the U.S. Department of Education to track all program participants for a period of time necessary to complete a doctoral program of study. Therefore, please inform the McNair Program if your "current" or "permanent" address or phone number has changed. In addition, you must complete the Graduate School Status and Financial Assistance sections below in order for us to comply with our program's objectives.

* indicates a required field.

       
* First Name  
* Last Name  
* Date  

Current Contact Information

* Address  
* City  
* State  
* Zip Code  
* Phone (with area code)  
* Email  

Permanent Contact Information

Please fill out if NOT same as above.

  Address  
  City  
  State  
  Zip Code  
  Phone (with area code)  
  Email  

Please complete the appropriate sections below.

Graduate School Status

  Name of Institution  
  Name of Program (Major)  
  Degree Sought  
  Status Part / Time
Full / Time
 
  Expected Graduation Date or Date Degree Earned  
  Current GPA  
* Did you attend graduate school in either or both semesters in the previous academic year (2013-2014)  
* Are you currently attending graduate school?  

GRADUATE SCHOOL FINANCIAL ASSISTANCE

  Type of Financial Assistance GA
TA
RA
Fellowship
Loan
None
 
  Other  
  Amount Awarded ($)  
  School Employment position  

If you aren't enrolled in graduate school, please fill out the section below

* Do you plan on enrolling in graduate school? Yes
No
Not sure
Already enrolled
 
  If so, which semester do you plan on enrolling in graduate School (semester and year)  
  University  
  Program of Study  

Professional Employment Status

  Employer  
  Position  
  City  
  State  
  Zip Code  
  Phone (with area code)  
  Status Part / Time
Full / Time