Research And Mentoring Program

Research and Mentoring Program

TEL: 407-823-1815
FAX: 407-823-4516
Research And Mentoring Program
P.O. Box 162001
Computer Center II, Room 221 Orlando, FL 32816-2001

ALUMNI

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UCF McNair Scholars Program - Alumni Update

As you may be aware, we are required to provide follow-up data to the U.S. Department of Education on all current and former participants in the UCF McNair Scholarst Program. The extent to which we can collect this information from you and other McNair Scholars is imperative to the existence of the program in the future.

Please take a few minutes to provide us with the following information and any other pertinent facts about your status that you feel may be beneficial to us.

Personal Information

First Name:

Last Name:

Maiden Name:

UCF PID: (example: A1234567)

Phone Number: (no space, i.e. 1234567899)

E-mail Address:

Confirm E-mail Address:

Mailing Address

Number and Street:

Apartment Number:

City:

State:

Zip Code: +4 (not req.)

Permanent Address (if different than above)

Number and Street:

Apartment Number:

City:

State:

Zip Code: +4 (not req.)

Educational Information

Degrees Completed:

Bachelor's
Master's
Doctoral
Other:

Current Enrollment:

Bachelor's
Master's
Doctoral
Other:

Year in Program:

First
Second
Third
Other:

Please list all post-baccalaureate institutions attended:

Institution 1

Institution Name:
Major:
Research Interst:
Graduation Date:
Degree Recieved:

Institution 2

Institution Name:
Major:
Research Interst:
Graduation Date:
Degree Recieved:

Institution 3

Institution Name:
Major:
Research Interst:
Graduation Date:
Degree Recieved:

Were you able to secure funding to continue your education:
Yes No

Please explain:

Future Educational Information

Do you anticipate pursuing further education? If so, when and in what area?

If you are not currently enrolled, please explain why:

Employment

Employer:

City:

State:

Job Title:

Status:

Full Time
Part Time
Temporary
Seasonal

Briefly describe your job responsibility:

List any awards or honors you have received:

List any professional activities or organizations you belong to:

Is there anything else you would like us to know?

Undergraduate Studies
& Affiliated Units

Degrees Completed:

Current Enrollment:

Year in Program:

Please list all post-baccalaureate institutions attended:

Institution 1

Institution 2

Institution 3

Status:

2008 University of Central Florida.

Undergraduate Studies & Affiliated Units

Degrees Completed:

Current Enrollment:

Year in Program:

Please list all post-baccalaureate institutions attended:

Institution 1

Institution 2

Institution 3

Status:

2008 University of Central Florida.

Undergraduate Studies
& Affiliated Units