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Summer Predoctoral Institute

2010 Online Application

Do not submit this application unless you have already applied to the University of Illinois.

First Name:
Middle Initial:
Last Name:

Contact Information

Permanent Address:
City:
State:
ZIP Code:
Phone:
E-mail Address:
Confirm E-mail Address:

Biographical Information

Gender:
Citizenship:

(If other, then please explain below)
Ethnicity:
African (Black) American
Mexican American
Native American Indian
Puerto Rican
Other (If other, then please explain below)

General Information

Have you submitted an application for submission to the Graduate College at the University of Illinois at Urbana-Champaign:

Date of application:
Name of graduate program:
Have you received a notice of acceptance from the department?

Have you received a letter of admission to the Graduate College?

What degree(s) are you seeking?
What type(s) of financial aid will you receive?

Please provide the name of the funding source or describe the type of funding:
Have you been assigned a departmental Research Advisor at the Urbana Campus?

If yes, provide advisor's name:

Academic Information

Undergraduate Institution:

City:

State:
Undergraduate Major:

Have you earned an advanced degree?

If yes, what degree?
Institution:

City:

State:
Date Completed:
 

Previous Research Experience

Program Name:

(e.g. SROP, MARC, MBRS, McNair, etc...)
Program Location:

Date of Participation

Session:
(e.g. summer, fall, spring, etc.)
Session:

Personal Statement

Please copy and paste or type a brief personal statement (150-200 words) in the box below. Discuss you interest in the Summer Pre-Doctoral Institute at the University of Illinois at Urbana-Champaign and the reasons why it is important to participate at this time. Include the following:

  1. Your prospective program or field of study and the relationship of that field to your future plans
  2. Personal benefits to be gained from participating in this summer experience
  3. How your underrepresented status has influenced your academic pursuits, particularly the pursuit of the doctorate in your chosen field of study
  4. Your academic preparation, including awards, honors, presentations, publications, and research projects

The Graduate College at the University of Illinois Urbana-Champaign 801 South Wright Street 204 Coble Hall, MC-322 Champaign, IL 61820-6210 Phone: (217) 333-0035 Fax: (217) 333-8019