MCDB Graduate Program Preview Visit Application
Highly qualified prospective graduate students interested in applying to our PhD program are invited to apply.
Note: after completing this form, you also need to email us 1) letter of reference, 2) a transcript (unofficial is ok) and 3) a 1-page CV.
Deadline for receiving all materials is September 1.
First Name
Your answer
Last Name
Your answer
Contact information
email *
Your answer
Phone number
Your answer
Preferred pronoun
Your answer
Gender
Your answer
Birthdate (mm/dd/year)
Your answer
Undergraduate Institution
Your answer
Cumulative Grade Point Average
Your answer
Date degree awarded/expected
Your answer
Background
Citizenship Status
Do you feel any of these categories describe your background? Check the boxes that apply to you.
As an undergraduate, did you ever receive a Pell Grant?
As an undergraduate did you or your family experience financial hardship to pay for your education?
Briefly describe any work experience, volunteer engagement, or leadership of student or community organizations you have been involved in promoting diversity. By commitment to diversity, we mean efforts in the U.S. to reduce social, educational or economic disparities based on race, ethnicity or gender, or to improve race relations in the U.S.
Your answer
Brief description of your research experience (a short paragraph)
Your answer
Areas of Interest (Check all that apply)
****Note: After submitting this form, to complete your application, we need 3 more items. 1) a transcript (it can be unofficial) 2) a 1-page CV with any publications or poster sessions you may have and 3) a letter of recommendation from a faculty member. Send them to: Mary Carr at carrmm@umich.edu
Submit
Never submit passwords through Google Forms.
This form was created inside of University of Michigan. Report Abuse - Terms of Service