Graduate Preparation Institute (GPI) 2017
Program Dates: July 5, 2017 – August 5, 2017* (*Reflects updated program dates)
Please complete entire application and email to no later than 5:00 pm (MST) February 15, 2017. We expect to notify selected applicants via email no later than the last week of April (contingent upon grant funding).
Name: ______
Gender: ☐ Male ☐ Female ☐ I identify as: ______
Mailing Address, City, State and Zip Code:
______
Date of Birth:______Phone Number:______
Undergraduate Institution: ______
Major: ______Minor: ______
Class Standing: ______Graduation (Month): ______(Year)______
Email: ______
Eligibility (Check all that apply)
o U.S Citizen
o U.S Permanent Resident (Please provide a copy of your green card)
o Have a minimum of a 3.0 cumulative GPA
Eligible applicants must be from one of the following historically underrepresented groups: (Check all that apply)
o African American
o American Indian/Alaska Native
o Hispanic/Latina(o)
o Pacific Islander/Native Hawaiian
What is the highest level of education your parent(s) achieved?
Parent 1: ☐ None ☐ K-12 ☐ Some College ☐ Bachelor's ☐ Masters ☐ Doctorate
Parent 2: ☐ None ☐ K-12 ☐ Some College ☐ Bachelor's ☐ Masters ☐ Doctorate
GRADUATE SCHOOL PLANS
My educational goal is to earn a ☐ master’s degree and/or ☐ Ph.D.
STEM Field(s) of Interest: ______
*See https://www.lsamp.org/help/help_stem_cip_2010.cfm for applicable fields
List the semester AND year you plan to apply to graduate school: ______
How did you hear about the Graduate Preparation Institute: ______
EDUCATIONAL HISTORY
List the Colleges/Universities Attended (beginning with most recent) with the name of the institution and dates attended.
Institution Name, City/State / Dates Attended: Month/YearRESEARCH PLACEMENT
Identify 3-4 faculty at the University of Utah whose research matches your interest(s).
1. ______
2. ______
3. ______
4. ______
If selected as a GPI Fellow, can you commit to 35+ hours/week of GPI activities for specified program dates?
o Yes
o No
SUPPLMENTAL APPLICATION MATERIALS
Official Transcripts: Emailed transcripts by institutional document delivery service will be accepted. If you are utilizing this method, email transcripts to: . If your institution does not provide official transcript email service, mail a hardcopy of all your undergraduate transcripts. Transcripts MUST be addressed to:
Araceli Frias, Ph.D.
Graduate Preparation Institute
University of Utah Graduate School
302 Park Building
Salt Lake City, UT 84112
Letters of Recommendation: Submit two letters of recommendation from faculty (strongly preferred) or staff members who can attest to your academic achievement. Recommenders must use official university/department letterhead and place their letter in a signed and sealed envelope. Letters of recommendation will be accepted via email. If you are utilizing this method, please inform your recommenders to send their letters to: .
Resume or CV: Please submit a copy of your updated resume or CV.
Essay Questions. Please answer the following questions below in a separate document.
1. Describe how your life experiences have influenced your educational and career goals.
(500 word max)
2. What are your strengths and weaknesses? (500 word max)
3. Why should we choose you to become a GPI fellow? (500 word max)
4. In order to place you in an appropriate research lab/team, please describe your research interests and/or research topics you plan to explore in graduate school (500 word max).
By checking this box, I verify that all the information on this application is true and complete. If asked to provide proof of this information, I agree to do so.
Submission:
Please ensure that the Graduate School Diversity Office will receive all application materials by 5:00 PM (MST) on February 15, 2017. You can email your application to:
*If you are planning to take the Graduate Record Exam (GRE) in 2017, please do not register to take the exam until AFTER the Graduate Preparation Institute concludes to derive maximum benefits from the GRE preparation course.
*To derive maximum benefits from research and GPI activities, GPI Fellows are strongly discouraged from taking online summer courses during the program dates.