UMKC School of Graduate Studies
Fellowship Application Form for 2009-10
Arthur Mag Graduate Fellowship
Please print in black or blue ink. If filled out on-line, use the tab key to move through the form.
When finished, you can save a copy of this Word document to a disk.
Eligibility requirements: U.S. citizens who are planning to pursue a graduate degree at UMKC on a full-time basis. First-year graduate students and previous Arthur Mag Graduate Fellows will be given preference. High level of academic achievement is required. Personality, good citizenship, commitment to community service, and potential to contribute to programs in the Kansas City area will also be considered in the selection process.
In addition to this completed application form, the following materials must be included:
·  Transcripts of previous work (students who will be new to the program in Fall 2009, supply transcripts from institution where under-graduate degree was conferred, plus transcripts of all graduate work to date; for continuing UMKC students, supply only a UMKC transcript). Grade reports printed from Pathway are not acceptable.
·  Three faculty recommendation letters.
Please indicate below the names and addresses of the three persons whom you have requested to write the faculty recommendation letters:
1.
2.
3.
This application & all supporting documents are due to the School of Graduate Studies by February 2, 2009.
Applications without all required materials (including recommendation letters) will not be accepted.
Please do not staple any documents—just gather all materials in letter-size manila envelope.
PERSONAL, ACADEMIC AND EMPLOYMENT INFORMATION
Last (print above) /

First

/

Middle

/ Student I.D. Number
Address (street, apt. #)
()
City, State, Zip Code / Phone: Home
()
E-mail Address / Phone: Business
ETHNIC ORIGIN (optional information)
International Student Native American (tribal affiliation: ) Black, Non-Hispanic Hispanic
Asian/Pacific Islander Caucasian Other
STATUS FOR FALL 2009: New student Continuing graduate student
If continuing student: / a: What is your anticipated date of graduation?
b. Name of your major advisor:
Degree Program:
If you are an interdisciplinary Ph.D. student, please list your coordinating unit AND your co-discipline
PREVIOUS DEGREES AWARDED
DEGREE / DATE COMPLETED / DEGREE-GRANTING INSTITUTION / GRADE POINT AVG.
CURRENT EMPLOYMENT STATUS
Current place of employment and position:
Full-time Part-time Does employer provide tuition assistance?
What are your employment plans for the 2009-10 academic year?
HONORS, AWARDS, OTHER SPECIAL RECOGNITION RECEIVED:
SPECIAL TALENT, LIFE EXPERIENCES OR OTHER CHARACTERISTICS, WHICH ENHANCE YOUR GRADUATE WORK:
PUBLICATIONS AND/OR PRESENTATIONS AT PROFESSIONAL MEETINGS OR CREATIVE/ ARTISTIC PERFORMANCES OR EXHIBITS IN YOUR FIELD(S) OF STUDY. If you are not the first or single author on a publication, please list your role. Also include an accurate citation for the publication.
APPLICANT’S PLAN FOR THE FELLOWSHIP PERIOD If you receive a fellowship for 2009-2010, how do you plan to use your fellowship time to enhance your graduate experience? [Include here specific research plans, amount of time to be spent on campus in discipline-related activities, education experiences you would not be able to pursue without the support of the fellowship stipend, etc.]