McNair Scholars Request Form for Participation/Fee Waiver Certificate

Please complete this request form in order to obtain your McNair Scholars Participation/Fee Waiver Certificate for your graduate school application(s). This form acts as verification of your participation in the GVSU McNair Scholars Program, as well as an application fee waiver request.

* denotes a required field

McNair Scholar Information

First Name *

Last Name *

G-number *

Email *

Undergraduate Major *

McNair Scholar's Program Information

Acceptance Date into the GVSU McNair Scholars Program (month/year) *

Graduation date from GVSU (type "Present" if you are still participating in the McNair program) (month/year) *

Research Topic(s) or Title of Research Project *

Faculty Mentor First Name *

Faculty Mentor Last Name *

Faculty Mentor Department *

Do you have another mentor? *
No
Yes

Faculty Mentor 2 Department *

The Fee Waiver Certificate will be sent via email as a PDF. Please let us know to whom the waiver(s) are to be delivered.

Institution Information

Institution Name *

Email the Certificate *

Additional Institutions

How many additional institutions are you registering?

Institution 1

Institution Name *

Email the Certificate *

Institution 2

Institution Name *

Email the Certificate *

Institution 3

Institution Name *

Email the Certificate *

Institution 4

Institution Name *

Email the Certificate *

Institution 5

Institution Name *

Email the Certificate *

Institution 6

Institution Name *

Email the Certificate *

Institution 7

Institution Name *

Email the Certificate *

Institution 8

Institution Name *

Email the Certificate *

Institution 9

Institution Name *

Email the Certificate *

Institution 10

Institution Name *

Email the Certificate *

Additional Information for the McNair Scholars Program

Is there anything else you would like us to know?

Human Verification *

Page last modified January 7, 2021

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