UTSA Rising Researcher Program

Exit this survey

 

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1. Basic information:

Basic information:   First name:
Last name:
UTSA Banner ID: (@_ _ _ _ _ _ _ _)
Date of birth: (MM/DD/YYYY)
UTSA major and minor:
Home #:
Cell #:
School email:
Personal email:

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2. Citizenship status:
Note: For participation in these federal programs, you must be a U.S. citizen or permanent resident.

Citizenship status: Note: For participation in these federal programs, you must be a U.S. citizen or permanent resident.   U.S. Citizen Permanent Resident

Other (please specify)

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3. Current Address

Current Address   Address:
Address 2:
City/Town:
State:	-- select state --AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming
ZIP:
Country:

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4. Are you a member of any of the following ethnic and/or racial groups?

Are you a member of any of the following ethnic and/or racial groups?   Black or African American Hispanic or Latino/a Native American Native Alaskan	Native of the U.S. Pacific Islands White or Caucasian Asian or Asian American
Other (please specify)

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5. Based on your FAFSA information, are you a student who qualifies as having Exceptional Financial Need?

Definition of Exceptional Financial Need:
Defined by Total Family Income and Family Size.

Just you: $16,245 or less
You & 1 other: $21,855 or less
You & 2 others: $27,465 or less
You & 3 others: $33,075 or less
You & 4 others: $38,685 or less
Families of 6 or more people: Add $5,610 per each additional person

Based on your FAFSA information, are you a student who qualifies as having Exceptional Financial Need? Definition of Exceptional Financial Need: Defined by Total Family Income and Family Size. Just you: $16,245 or less You & 1 other: $21,855 or less You & 2 others: $27,465 or less You & 3 others: $33,075 or less You & 4 others: $38,685 or less Families of 6 or more people: Add $5,610 per each additional person   No Yes