McNair Scholars Follow-Up Request Form
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CSUS McNair Mandatory Tracking
SACRAMENTO STATE MCNAIR SCHOLARS PROGRAM
All McNair Scholars are required to maintain contact with the program for ten (10) years after they have attained their baccalaureate degree or until they have been awarded a doctoral degree. We appreciate you taking the time to complete and submit the information requested below.
If your prefer a paper form or need assistance please contact the Sacramento State McNair Scholars Office at (916) 278-5118 or email mcnair@csus.edu. Thank you.
Full Name (including Maiden Name)
*
Permanent Address
*
Please include Number, Street, City, State & Zip Code
Phone
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####
Email
*
First Post-Secondary Education Enrollment Date:
MM
/
DD
/
YYYY
If you were a transfer student this is the date you first attended community college. For non-transfers this is the date you first attended Sacramento State.
----------------------------GRADUATE INFORMATION----------------------------
Please select the most current option:
*
I am currently enrolled in Master's Program
I am currently enrolled in Doctoral Program
I have completed a Master's Program
I have completed a Doctoral Program
I am NOT currently enrolled in a Graduate Program
****If you are NOT currently enrolled in a graduate program and still an undergraduate student at Sacramento State please scroll to the bottom and submit this form.
****If you ARE enrolled in a graduate program please fill out the sections that follow:
If you are enrolled or have completed a Master's Program, please complete the following:
**(If you enrolled in a Ph.D program immediately following the completion of your Bachelor's SKIP to the next section)***
(Master's Program) Graduate School Name:
(Master's Program) Major/Focus:
(Master's Program) Units Completed:
(Master's Program) Cumulative GPA:
(Master's Program) Year you entered the program:
(Master's Program) Did you receive any type of assistanceship your first year?:
Yes
No
If yes, what type (i.e. GA, TA, RA)?:
(Master's Program) Graduation Date:
(Master's Program) Degree Awarded:
Masters of Arts, Masters of Science
(Master's Program) If you have not graduated, where are you now?:
Still Attending
Not Enrolled
Personal Leave
Did not complete requirements
Disqualified
Withdrew
Entered Military
Other (please indicate):
If you are enrolled or have completed a Doctoral Program, please complete the following:
(Doctoral Program) Graduate School Name:
(Doctoral Program) Major/Focus:
(Doctoral Program) Did you receive any type of assistanceship your first year?:
Yes
No
If yes, what type (i.e. GA, TA, RA)?:
(Doctoral Program) Units Completed:
(Doctoral Program) Cumulative GPA:
(Doctoral Program) Year you entered the program:
(Doctoral Program) Graduation Date:
(Doctoral Program) Degree Awarded:
(Doctoral Program) **If you have already been awarded with a doctoral degree where are you employed?**:
(Doctoral Program) If you have not graduated, where are you now?:
Still Attending
Not Enrolled
Personal Leave
Did not complete requirements
Disqualified
Withdrew
Entered Military
Other (please indicate):
Thank you for taking the time to supply the above information. Please hit the SUBMIT button below when you are finished.
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