Hunter College National Institute of Mental Health Career Opportunities in Research Education and Training Program
NIMH-COR Application
(Please TYPE)
Last Name____________________ First Name ________________ MI ____ Male/Female ___
| Address __________________________________________________________________________ | |||||
| street | city | state | zip | ||
| Phone(____)___-_____ | Student ID____-___-_____ | Date of Birth ___-___-___ | |||
| Citizenship: | United States ___ | U.S. Permanent Resident___ |
Ethnic Background (check all that apply)
| ___ Alaskan Native | ___ Hispanic (please specify) ________________ |
| ___ African American (black) | ___ Native American (tribe/nation) ____________ |
| ___ Asian (please specify) _________________ | ___ Pacific Islander (please specify) ___________ |
| ___ Other (please specify) _________________ |
HUNTER COLLEGE REFERENCES:
Please provide the name and department of two Hunter College professors who will be submitting recommendations for you.
1. _________________________________________________________________________________
2. _________________________________________________________________________________
Expected Date of Graduation (Month/Year): _________________
| Major: __________________________ | Minor: _____________________________ |
Did you transfer to Hunter? ________
If YES, from what school? _______________________________________________________________
(attach transcript to application)
| Number of credits transferred to Hunter _____ | GPA for transferred credits ____ |
| GPA for credits taken at Hunter _____ | Total Number of Credits ______ |
This program is designed to identify and prepare exceptionally talented minority undergraduates to obtain doctoral degrees in the social sciences. So we may better assess your appropriateness for this program, please provide a one-page essay describing your career goals, research interests/experience, and any other information you feel would be helpful to the committee in evaluating your application. The completed application, essay, copy of your transcript, letters of support, and any other supporting materials must be received by the NIMH-COR office by Friday April 30, 1999. Please note: because late letters of support will not be considered, it is your responsibility to ensure the people writing your letters of support have them in on time.
Please send the completed application, essay, and supporting materials to:
Liliana Mesa
Program Manager
Office 632 Hunter North
(212) 772-4562
(212) 650-3588 Fax
Deadline for
all application materials:
April 30, 1999
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