Dear McNair Scholars Applicant,

Dear McNair Scholars Applicant, The Ronald E. McNair Postbaccalaureate Achievement Program (McNair Scholars Program) is a federally funded graduate preparation program at UW Superior. The program consists of focused and challenging workshops and seminars as well as an intensive research project for which you earn up to $2800. This program is designed to prepare you for entry and success in graduate school. The national McNair objective is to increase the number of PhDs; thus this program is not designed for students who solely want to earn degrees in law or medicine. The McNair Program at UW Superior is open to students from UW Superior, the University of Minnesota Duluth, Northland College, and AMU (148 th Air National Guard members). To be eligible for the program, students must meet federal income guidelines and be first-generation (neither natural/adoptive parent has a bachelor s degree) OR be a member of a group underrepresented in graduate education (Native American/Alaskan Native, African American, or Hispanic). Students must also be enrolled as a sophomore, junior, or senior in college. Seniors applying for this program need to complete research prior to graduation. The minimum cumulative GPA requirement is 2.75 for entry into the program. To apply for this exciting and challenging opportunity to be in a graduate school preparatory program, please submit the following: Complete the McNair Scholars application, including all essay questions. Attach copies of transcripts for all colleges or universities you have attended OR arrange to have transcripts (unofficial transcripts are all that are needed) sent to the McNair Scholars Program office before the application deadline. Attach a copy of the most recent tax return that shows taxable income (usually line 43). We need to know the taxable income, not adjusted gross income. If you are listed on your parents tax forms, we will need a copy of their taxes. Please see the attached examples. Attach a copy of your current resume. AMU Applicants (only): be sure to include a letter from your Commanding Officer verifying your military service. Please hand-deliver or mail all application materials to the McNair Scholars Program Office, UW Superior, 2047 Swenson Hall, P.O. Box 2000, Superior, WI 54880. Applications are due October 19, 2018. Selection into the program will be based on your application form, essay, transcripts, two recommendation forms, and a personal interview. Only complete applications will be considered. If you have any questions, please contact us. We look forward to receiving your application. Good luck! Dr. Marsha S. Lue, Director mfrancis@uwsuper.edu Chelsey Miller, Academic Coordinator cmille15@uwsuper.edu McNair Scholars Program University of Wisconsin-Superior Swenson Hall 2047 Belknap & Catlin, PO Box 2000 Superior WI 54880 phone: 715.394.8043 fax: 715.394.8252 website: uwsuper.edu/mcnair/

Please provide the following information. All information is confidential. If you are concerned about any of the questions asked on this form, please discuss them with the McNair Program Director. Please type or print clearly. ALL FIELDS MUST BE COMPLETED TO BE CONSIDERED. PERSONAL INFORMATION Last Name First Name MI Current Address (Ex. 2000 Belknap & Catlin Ave) City, State Zip Permanent Address (if different from above) City, State Zip Hometown & State (Ex. Superior, WI) Primary Phone Number Home Phone (If different from primary) Campus E-Mail Address Alternate E-mail Address Gender: [ ] Male [ ] Female Age: Date of Birth (MM/DD/YY): / / Are you a U.S. Citizen? [ ] Yes [ ] No If you are not a citizen, are you a permanent resident of the U.S.? [ ] Yes [ ] No If yes: Please provide permanent resident card. Ethnicity (Please check all that apply) [ ] Alaska Native [ ] Asian American [ ] Black/African American [ ] Caucasian [ ] Hispanic/Latino American [ ] Native American/American Indian [ ] Native Hawaiian [ ] Pacific Islander [ ] Other: ACADEMIC What is your academic status? [ ] Sophomore [ ] Junior [ ] Senior What is your Student ID? What is your major/minor? Enrollment Status: [ ] Full-time [ ] Part-time Expected Graduation date: (MM/YY) CUM GPA: Have you ever participated in a TRiO Program (e.g. McNair Scholars, Upward Bound, Talent Search, Student Support Services, etc )? [ ] Yes [ ] No If yes please list program and the university Has either of your parents (natural or adoptive) COMPLETED a four-year bachelor s degree? [ ] Yes [ ] No If yes please include the name and location of the college your parent/parents GRADUATED from: FINANCIAL (See attached tax form examples) Are you claimed as a dependent on your parents /guardians 2017 federal income tax return form? [ ] Yes [ ] No If yes, how many individuals were reported on your parents /guardians 2017 federal income tax return form? If no, how many individuals were reported on your 2017 federal income tax return form? I certify all of the above information to be true and I hereby authorize the McNair Scholars Program to disclose or obtain educational records and information in a confidential manner, with any faculty or staff member as deemed appropriate by the McNair Scholars Program staff. X Students Signature X Director s Signature University of Wisconsin-Superior is an Equal Opportunity / Affirmative Action Institution *FOR OFFICE USE ONLY* X Eligibility Summary [ ] LI [ ] FG [ ] UR [ ] LIFG Program Assistant s Signature (After Data Entry) Date

Please provide the following information. All information is confidential. If you are concerned about any of the questions asked on this form, please discuss them with the McNair Program Director. Please type or print clearly. ALL FIELDS MUST BE COMPLETED TO BE CONSIDERED. Core Application Materials Checklist Please note that to be considered as a candidate for the UW-Superior McNair Post Baccalaureate Achievement Program you must include all of the items listed below. If you have questions about any of the materials, please contact us at mcnair@uwsuper.edu. Completed McNair Application Unofficial Transcripts for all colleges and universities attended. If you transferred here, or attended a college/university prior to attending UWS, we will need those transcripts. Most recent tax return (2017) We only need the pages that show taxable income (usually line 43) and family size. If you are claimed as a dependent on your parent s tax forms, we will need those (again showing the taxable income). References Form Please note that references listed will be contacted. A copy of your current resumé Please submit a letter from your commanding officer to verify military status (AMU Students only). The summer program consists of a summer term class, in addition to your research, from the end of May until the middle of July. The summer course focuses on the GRE, doctoral degree application processes, graduate school funding, and graduate school interview skills, among other topics. Scholars earn 2 credits while in McNair for the GRE course. The McNair Scholars Program is the equivalent of 9-10 credits for both spring and summer sessions. IMPORTANT: You must be available for the summer program (mid/end of May-mid July). Classes are held Monday-Thursday, 8 am 12 pm, with the exception of pre-arranged day-long events. You will NOT be able to enroll in conflicting classes or internships, as class attendance is REQUIRED, WITH NO EXCPETIONS. Initial here that you understand that you must participate in the summer program, unless you are off campus for research (no class/internship conflicts). Once you have accepted the offer to participate in the McNair Program, you will be expected to complete your commitment throughout the entire academic year and summer: Initial: **Be sure to check your email or voicemail to find out if you have been selected for an interview.** Please respond to the notification of selection within 48 hours.

Please provide the following information. All information is confidential. If you are concerned about any of the questions asked on this form, please discuss them with the McNair Program Director. Please type or print clearly. ALL FIELDS MUST BE COMPLETED TO BE CONSIDERED. BASIC QUESTIONS Application Questionnaire and Essays DIRECTIONS: Please answer the questions below. 1 Do you plan to apply to a graduate degree program? [ ] YES [ ] NO If no, why not? 2 What degree(s) will you pursue? (Please mark all that apply) [ ] Masters [ ] PhD/EdD 3 4 5 Research and list 3-5 graduate programs that interest you and explain why you would apply to them. Include the following information on the schools: GPA and/or GRE requirements Due date for the applications Any other requirements: such as how many letters of recommendation to include, resume/cv requirement, and personal statement requirements. List a timeline in which you will (approximately) graduate with a Bachelor s degree, apply for a Masters and PhD program, enter a Master and PhD program, and graduate from a Masters and PhD program. Discuss how you will accomplish each goal (This can be written, visual, or both). Have you applied to, or participated in any off-campus research opportunities? Please list where: 6 Have you taken the GRE? [ ] NO [ ] YES Scores: Verbal: Qualitative: Writing: 7 Have you applied to graduate school? [ ] NO [ ] YES, list where and if you were accepted: ESSAY QUESTIONS DIRECTIONS: Please submit a double spaced response to each of the items below. There are no limits on word count or length unless specified. 8 Discuss any research interests you have, and discuss any independent research projects you have experienced. 9 10 Write a personal statement discussing your short-term and long-term career goals and how a doctoral degree will help you achieve these goals. In what ways will the McNair Program help you reach your goals? The following are scenario questions, please respond in 1-page or less for each scenario, double spaced. Scenario 1: You run into a situation/obstacle that makes your immediate enrollment into grad school more difficult. What steps would you take to address this problem? Scenario 2: What steps would you take to ensure you don t burn out?

All information is confidential. If you are concerned about any of the questions asked in this application, please discuss them with the McNair Program Director. Tax Returns Please note: as part of your complete application you will need to submit tax documentation as required by the Department of Education guidelines. Following this page are examples of basic 1040 tax forms. DO NOT FILL OUT THESE FORMS, they are only examples. Please be mindful of the following: Do not give us original tax forms with your application. We can make a copy for your application if you are unable to do so. We do not need all of the paperwork associated with tax returns, we usually only need the first 2 pages of your taxes: We need to see Taxable Income (could be 1 st or 2 nd page) We also need to see any Dependents claimed, and Family Size (usually the 1 st page) If you did not file taxes, or if your parents claim you and did not file taxes (usually because the income threshold was not met), you will need to submit a letter stating that taxes were not filed for 2017. In the case of parents claiming dependents, the filing parent will need to submit a signed letter stating that taxes were not filed. DO NOT SELF SELECT! We cannot emphasize this enough, as you may think you do not meet income guidelines when, in fact, you do! If you have questions about your tax documents or this part of the application, please contact us at: mcnair@uwsuper.edu or stop by our office: Swenson 2047 during the hours of 8am and 2:30pm. Continue on for examples of tax documents >

Form 1040 Department of the Treasury Internal Revenue Service (99) U.S. Individual Income Tax Return 2015 OMB No. 1545-0074 IRS Use Only Do not write or staple in this space. For the year Jan. 1 Dec. 31, 2015, or other tax year beginning, 2015, ending, 20 See separate instructions. Your first name and initial Last name Your social security number If a joint return, spouse s first name and initial Last name Spouse s social security number Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Make sure the SSN(s) above and on line 6c are correct. City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Presidential Election Campaign Foreign country name Foreign province/state/county Foreign postal code Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. You Spouse Filing Status 1 Single 4 Head of household (with qualifying person). (See instructions.) If 2 Married filing jointly (even if only one had income) the qualifying person is a child but not your dependent, enter this Check only one 3 Married filing separately. Enter spouse s SSN above child s name here. box. and full name here. 5 Qualifying widow(er) with dependent child 6a Yourself. If someone can claim you as a dependent, do not check box 6a..... Boxes checked Exemptions } on 6a and 6b b Spouse........................ No. of children c Dependents: (2) Dependent s (3) Dependent s (4) if child under age 17 on 6c who: (1) First name Last name social security number relationship to you qualifying for child tax credit lived with you (see instructions) did not live with you due to divorce If more than four or separation (see instructions) dependents, see Dependents on 6c instructions and not entered above check here Add numbers on d Total number of exemptions claimed................. lines above # Income 7 Wages, salaries, tips, etc. Attach Form(s) W-2............ 7 8a Taxable interest. Attach Schedule B if required............ 8a b Tax-exempt interest. Do not include on line 8a... 8b Attach Form(s) 9 a Ordinary dividends. Attach Schedule B if required........... 9a W-2 here. Also attach Forms b Qualified dividends........... 9b W-2G and 10 Taxable refunds, credits, or offsets of state and local income taxes...... 10 1099-R if tax 11 Alimony received..................... 11 was withheld. 12 Business income or (loss). Attach Schedule C or C-EZ.......... 12 13 Capital gain or (loss). Attach Schedule D if required. If not required, check here 13 If you did not 14 Other gains or (losses). Attach Form 4797.............. 14 get a W-2, see instructions. 15 a IRA distributions. 15a b Taxable amount... 15b 16 a Pensions and annuities 16a b Taxable amount... 16b 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 17 18 Farm income or (loss). Attach Schedule F.............. 18 19 Unemployment compensation................. 19 20 a Social security benefits 20a b Taxable amount... 20b 21 Other income. List type and amount 21 22 Combine the amounts in the far right column for lines 7 through 21. This is your total income 22 23 Educator expenses........... 23 Adjusted 24 Certain business expenses of reservists, performing artists, and Gross fee-basis government officials. Attach Form 2106 or 2106-EZ 24 Income 25 Health savings account deduction. Attach Form 8889. 25 26 Moving expenses. Attach Form 3903...... 26 27 Deductible part of self-employment tax. Attach Schedule SE. 27 28 Self-employed SEP, SIMPLE, and qualified plans.. 28 29 Self-employed health insurance deduction.... 29 30 Penalty on early withdrawal of savings...... 30 31 a Alimony paid b Recipient s SSN 31a 32 IRA deduction............. 32 33 Student loan interest deduction........ 33 34 Tuition and fees. Attach Form 8917....... 34 35 Domestic production activities deduction. Attach Form 8903 35 36 Add lines 23 through 35................... 36 37 Subtract line 36 from line 22. This is your adjusted gross income..... 37 For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 11320B Form 1040 (2015) Example

Form 1040 (2015) Page 2 38 Amount from line 37 (adjusted gross income).............. 38 39a Tax and Check You were born before January 2, 1951, Blind. Total boxes { } if: Spouse was born before January 2, 1951, Blind. checked Credits 39a b If your spouse itemizes on a separate return or you were a dual-status alien, check here 39b Standard 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin).. 40 Deduction for 41 Subtract line 40 from line 38................... 41 People who 42 Exemptions. If line 38 is $154,950 or less, multiply $4,000 by the number on line 6d. Otherwise, see instructions 42 check any box on line 43 Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0-.. 43 39a or 39b or 44 Tax (see instructions). Check if any from: a Form(s) 8814 b Form 4972 c 44 who can be claimed as a 45 Alternative minimum tax (see instructions). Attach Form 6251......... 45 dependent, see 46 Excess advance premium tax credit repayment. Attach Form 8962........ 46 instructions. 47 Add lines 44, 45, and 46................... 47 All others: 48 Foreign tax credit. Attach Form 1116 if required.... 48 Single or Married filing 49 Credit for child and dependent care expenses. Attach Form 2441 49 separately, $6,300 50 Education credits from Form 8863, line 19..... 50 Married filing 51 Retirement savings contributions credit. Attach Form 8880 51 jointly or Qualifying 52 Child tax credit. Attach Schedule 8812, if required... 52 widow(er), $12,600 53 Residential energy credits. Attach Form 5695.... 53 Head of 54 Other credits from Form: a 3800 b 8801 c 54 household, $9,250 55 Add lines 48 through 54. These are your total credits............ 55 56 Subtract line 55 from line 47. If line 55 is more than line 47, enter -0-...... 56 57 Self-employment tax. Attach Schedule SE............... 57 Other 58 Unreported social security and Medicare tax from Form: a 4137 b 8919.. 58 59 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required.. 59 Taxes 60 a Household employment taxes from Schedule H.............. 60a b First-time homebuyer credit repayment. Attach Form 5405 if required........ 60b 61 Health care: individual responsibility (see instructions) Full-year coverage..... 61 62 Taxes from: a Form 8959 b Form 8960 c Instructions; enter code(s) 62 63 Add lines 56 through 62. This is your total tax............. 63 Payments 64 Federal income tax withheld from Forms W-2 and 1099.. 64 65 2015 estimated tax payments and amount applied from 2014 return 65 If you have a qualifying child, attach Schedule EIC. Refund Direct deposit? See instructions. Amount You Owe Third Party Designee Sign Here Joint return? See instructions. Keep a copy for your records. Paid Preparer Use Only 66a Earned income credit (EIC).......... 66a b Nontaxable combat pay election 66b 67 Additional child tax credit. Attach Schedule 8812..... 67 68 American opportunity credit from Form 8863, line 8... 68 69 Net premium tax credit. Attach Form 8962...... 69 70 Amount paid with request for extension to file..... 70 71 Excess social security and tier 1 RRTA tax withheld.... 71 72 Credit for federal tax on fuels. Attach Form 4136.... 72 73 Credits from Form: a 2439 b Reserved c 8885 d 73 74 Add lines 64, 65, 66a, and 67 through 73. These are your total payments..... 74 75 If line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid 75 76a Amount of line 75 you want refunded to you. If Form 8888 is attached, check here. 76a b Routing number c Type: Checking Savings d Account number 77 Amount of line 75 you want applied to your 2016 estimated tax 77 78 Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions 78 79 Estimated tax penalty (see instructions)....... 79 Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete below. No Designee s Phone Personal identification name no. number (PIN) Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Your signature Date Your occupation Daytime phone number Example Spouse s signature. If a joint return, both must sign. Date Spouse s occupation Print/Type preparer s name Preparer s signature Date If the IRS sent you an Identity Protection PIN, enter it here (see inst.) PTIN Check if self-employed Firm s name Firm's EIN Firm s address Phone no. www.irs.gov/form1040 Form 1040 (2015)

Form 1040EZ Department of the Treasury Internal Revenue Service Income Tax Return for Single and Joint Filers With No Dependents (99) 2015 OMB No. 1545-0074 Your first name and initial Last name Your social security number If a joint return, spouse s first name and initial Last name Spouse s social security number Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Make sure the SSN(s) above are correct. City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Presidential Election Campaign Foreign country name Foreign province/state/county Foreign postal code Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. You Spouse Income 1 Wages, salaries, and tips. This should be shown in box 1 of your Form(s) W-2. Attach your Form(s) W-2. Attach 1 Form(s) W-2 here. 2 Taxable interest. If the total is over $1,500, you cannot use Form 1040EZ. 2 Enclose, but do not attach, any payment. Payments, Credits, and Tax Refund Have it directly deposited! See instructions and fill in 13b, 13c, and 13d, or Form 8888. Amount You Owe Third Party Designee Sign Here Joint return? See instructions. Keep a copy for your records. Paid Preparer Use Only 3 Unemployment compensation and Alaska Permanent Fund dividends (see instructions). 3 4 Add lines 1, 2, and 3. This is your adjusted gross income. 4 5 If someone can claim you (or your spouse if a joint return) as a dependent, check the applicable box(es) below and enter the amount from the worksheet on back. You Spouse If no one can claim you (or your spouse if a joint return), enter $10,300 if single; $20,600 if married filing jointly. See back for explanation. 5 6 Subtract line 5 from line 4. If line 5 is larger than line 4, enter -0-. This is your taxable income. 6 7 Federal income tax withheld from Form(s) W-2 and 1099. 7 8a Earned income credit (EIC) (see instructions) 8a b Nontaxable combat pay election. 8b 9 Add lines 7 and 8a. These are your total payments and credits. 9 10 Tax. Use the amount on line 6 above to find your tax in the tax table in the instructions. Then, enter the tax from the table on this line. 10 11 Health care: individual responsibility (see instructions) Full-year coverage 11 12 Add lines 10 and 11. This is your total tax. 12 13a If line 9 is larger than line 12, subtract line 12 from line 9. This is your refund. If Form 8888 is attached, check here 13a b Routing number c Type: Checking Savings d Account number 14 If line 12 is larger than line 9, subtract line 9 from line 12. This is the amount you owe. For details on how to pay, see instructions. 14 Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete below. No Designee s name Example Phone no. Personal identification number (PIN) Under penalties of perjury, I declare that I have examined this return and, to the best of my knowledge and belief, it is true, correct, and accurately lists all amounts and sources of income I received during the tax year. Declaration of preparer (other than the taxpayer) is based on all information of which the preparer has any knowledge. Your signature Date Your occupation Daytime phone number Spouse s signature. If a joint return, both must sign. Date Spouse s occupation If the IRS sent you an Identity Protection PIN, enter it here (see inst.) Print/Type preparer s name Preparer s signature Date Check if PTIN self-employed Firm s name Firm s EIN Firm s address Phone no. For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see instructions. Cat. No. 11329W Form 1040EZ (2015)

Form 1040EZ (2015) Page 2 Use this form if Filling in your return Your filing status is single or married filing jointly. If you are not sure about your filing status, see instructions. You (and your spouse if married filing jointly) were under age 65 and not blind at the end of 2015. If you were born on January 1, 1951, you are considered to be age 65 at the end of 2015. You do not claim any dependents. For information on dependents, see Pub. 501. Your taxable income (line 6) is less than $100,000. You do not claim any adjustments to income. For information on adjustments to income, use the Tax Topics listed under Adjustments to Income at www.irs.gov/taxtopics (see instructions). The only tax credit you can claim is the earned income credit (EIC). The credit may give you a refund even if you do not owe any tax. You do not need a qualifying child to claim the EIC. For information on credits, use the Tax Topics listed under Tax Credits at www.irs.gov/taxtopics (see instructions). If you received a Form 1098-T or paid higher education expenses, you may be eligible for a tax credit or deduction that you must claim on Form 1040A or Form 1040. For more information on tax benefits for education, see Pub. 970. If you can claim the premium tax credit or you received any advance payment of the premium tax credit in 2015, you must use Form 1040A or Form 1040. You had only wages, salaries, tips, taxable scholarship or fellowship grants, unemployment compensation, or Alaska Permanent Fund dividends, and your taxable interest was not over $1,500. But if you earned tips, including allocated tips, that are not included in box 5 and box 7 of your Form W-2, you may not be able to use Form 1040EZ (see instructions). If you are planning to use Form 1040EZ for a child who received Alaska Permanent Fund dividends, see instructions. If you received a scholarship or fellowship grant or tax-exempt interest income, such as on municipal bonds, see the instructions before filling in the form. Also, see the instructions if you received a Form 1099-INT showing federal income tax withheld or if federal income tax was withheld from your unemployment compensation or Alaska Permanent Fund dividends. For tips on how to avoid common mistakes, see instructions. Remember, you must report all wages, salaries, and tips even if you do not get a Form W-2 from your employer. You must also report all your taxable interest, including interest from banks, savings and loans, credit unions, etc., even if you do not get a Form 1099-INT. Worksheet for Line 5 Dependents Who Checked One or Both Boxes (keep a copy for your records) Mailing Return Example Use this worksheet to figure the amount to enter on line 5 if someone can claim you (or your spouse if married filing jointly) as a dependent, even if that person chooses not to do so. To find out if someone can claim you as a dependent, see Pub. 501. A. Amount, if any, from line 1 on front...... + 350.00 Enter total A. B. Minimum standard deduction..................... B. C. Enter the larger of line A or line B here.................. C. D. Maximum standard deduction. If single, enter $6,300; if married filing jointly, enter $12,600. D. E. Enter the smaller of line C or line D here. This is your standard deduction........ E. F. Exemption amount. If single, enter -0-. If married filing jointly and }F. both you and your spouse can be claimed as dependents, enter -0-. only one of you can be claimed as a dependent, enter $4,000. G. Add lines E and F. Enter the total here and on line 5 on the front.......... G. If you did not check any boxes on line 5, enter on line 5 the amount shown below that applies to you. Single, enter $10,300. This is the total of your standard deduction ($6,300) and your exemption ($4,000). Married filing jointly, enter $20,600. This is the total of your standard deduction ($12,600), your exemption ($4,000), and your spouse's exemption ($4,000). Mail your return by April 18, 2016. Mail it to the address shown on the last page of the instructions. 1,050 www.irs.gov/form1040ez Form 1040EZ (2015)