Demographic and Eligibility Information

* 1. My full name is:

* 2. For ETSU students only: My E-number is

* 3. My email address is:

* 4. The best telephone number to reach me at is: (please include area code)

* 5. The best address to reach me is: (please provide a full address, including zip code)

* 6. Birthdate and Current Age

* 7. I am available for a full time internship this coming summer (40+ hours per week)

* 8. I have at least a 3.0 GPA (on a 4-point scale).

* 9. I anticipate earning a total number of _______ undergraduate credit hours by June 2015

* 10. My expected graduation date (bachelor's degree) is (semester/year):

Note: If you are planning to graduate before 12/2015, you are NOT eligible to participate in the McNair Program

* 11. I am a U.S. Citizen.

* 12. Please choose the category that best describes you.

* 13. First generation student means that the biological parent(s)/guardian(s) that you lived with primarily while a minor, did not earn a four year degree prior to YOUR 18th birthday. Based on this definition, are you a first generation college student?