Bridge to the Doctorate Program

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Important information regarding the graduate fellowship program Bridge to the Doctorate Program Bridge to the Doctorate Fellowship Overview University of Delaware's Bridge to the Doctorate (BTD) graduate fellowship program Cohort XIV, anticipating funding by the National Science Foundation (NSF), promotes the participation of underrepresented minority students in science, technology, engineering or mathematics (STEM) disciplines. WHAT are the benefits? Tuition and fees paid and enrollment in a health insurance bene fit program Student stipends of $32,000* annually for two years Individualized faculty mentoring and coaching Participation in professional conferences and meetings Links to research and professional opportunities Enriched academic services and support by staff dedicated to the promotion of future leadership in the Science, Technology, Engineering & Mathematics (STEM) enterprise Eligibility Requirements US Citizenship or Permanent Residency Minimum GPA of 3.0 OR Institutional recommendation Active participation in a national LSAMP Program as an undergraduate Bachelor s degree in a STEM discipline from a LSAMP Institution No prior graduate school matriculation GRE test scores or intention of taking GRE in the first year of study Resume Personal Statement Letters of Recommendation (minimum of 3)** Applicants to the program are evaluated on their undergraduate record including professional performance and research experiences. The successful applicant will pursue a M.S or Ph.D. degree in a STEM discipline. Applications will be accepted through August, 2016. The evaluation process will begin immediately upon receipt of your application and will conclude when all fellowships have been awarded. Fellowships will be awarded on a rolling basis. For more information, please forward your general admission inquiries to gradadmissions@udel.edu. For specific questions, or to speak to someone directly, please contact Dr. Keeley M. Powell via email at kpowell@udel.edu or by phone at 302-831-4377. Please direct specific BTD program questions to Dean Michael Vaughan, BTD Site Director via email at vaughan@udel.edu or by phone at 302-831-2403. *Pending NSF Funding. ** Visit www.udel.edu/gradoffice/apply to review application requirements for specific programs of interest.

APPLICANT INFORMATION NAME (LAST, FIRST, MIDDLE INITIAL) SOCIAL SECURITY NO. HOME/PERMANENT ADDRESS LOCAL ADDRESS (IF DIFFERENT) CITY STATE ZIP CITY STATE ZIP HOME PHONE CELL PHONE DATE OF BIRTH: (MM/DD/YYYY) RESIDENCY INFORMATION (Please check one below): E-MAIL ADDRESS US CITIZEN PERMANENT RESIDENT (Attach a copy of Resident Alien card, if you are Permanent Resident) ETHNIC R BACKGROUND (CHECK ONE OR MORE RESPONSES) Yes No H ALASKA NATIVE ASIAN BLACK OR AFRICAN AMERICAN N PACIFIC ISLANDER WHITE OTHER (PLEASE SPECIFY) GRADUATE DEGREE PROGRAM TO WHICH YOU ARE APPLYING (Please specify below.) EDUCATIONAL BACKGROUND UNIVERSITY CURRENT MAJOR (BACCALAUREATE) CUM GPA: OF JUNIOR YEAR GPA: SENIOR YEAR GPA : MAJOR GPA: OF OF OF AREA OF STUDY? DATE OF GRADUATION (OR EXPECTED DATE ): GRE SCORES: M V ESSAY HAVE YOU EVER ATTENDED A COMMUNITY COLLEGE? (CHECK ONE) YES No If yes, indicate name of community college institution, major and degree received, if applicable: HAVE YOU APPLIED FOR OR HAVE BEEN AWARDED OTHER GRADUATE FELLOWSHIP SUPPORT? (CHECK ONE) If yes, please indicate: Source of support: Amount of support : YES No Page 1 of 3

NOMINATING LSAMP OFFICIAL (AT UNDERGRADUATE INSTITUTION) NAME OF LSAMP OFFICIAL (LAST, FIRST, MIDDLE INITIAL) INSTITUTION DEPARTMENT EMAIL PHONE SIGNATURE OF LSAMP OFFICIAL DATE RESEARCH EXPERIENCE (please list) NAME OF ADVISOR/LAB NAME OF PROJECT DURATION PROFESSIONAL EXPERIENCE (please list) NAME OF DURATION Page 2 of 3

APPLICATION FOR BRIDGE TO THE DOCTORATE PROGRAM CERTIFICATION AND SIGNATURES Please read the following carefully and sign only if you are in agreement: 1. I certify that I am a U.S. citizen or Permanent Resident of the U.S. 2. I certify that I have participated in an LSAMP as an undergraduate. 3. I agree that I am committed to the pursuit of a Ph.D. 4. I certify that I am not currently and have not previously enrolled in a graduate program. 5. I understand that my eligibility to continue in the Bridge to the Doctorate program is contingent on my enrollment in a Science, Technology, Engineering or Mathematics field as specified by the National Science Foundation. 6. I understand that the Bridge to the Doctorate Program has a full-time minimum enrollment requirement. 7. I understand that this program will be considered full-time employment and that I cannot be employed by any other agency or obtain any other federally-funded scholarship/fellowship. 8. I understand that I will not be allowed to continue in the Bridge to the Doctorate Program if my academic progress does not meet enrollment requirements, and semester and cumulative GPA requirements as stated in the program guidelines. 9. I understand that if I am accepted as a Bridge to the Doctorate fellow, I am expected to participate fully in all activities and/or seminars and provide information in a timely manner as required. 10. Upon acceptance to the program, I grant permission to the Philadelphia AMP to use my photograph, selected quotes and/or profile information on their website and future publications. 11. I hereby certify that all statements in this application are true to the best of my knowledge and understanding. 12. I authorize the investigation of all statements contained in this application and further authorize any person, school, current, and past organizations named in this application to provide the fellowship program with records, information, and opinions that may be useful in making a grand determination and for federal reporting purposes. Specifically, I authorize the University of Delaware to provide to Philadelphia AMP any or all information contained in my graduate admissions application. I release all informants from all liability for damage that may result from furnishing information and opinions which are truthful and made in good faith to the fellowship program. I understand that, should this application contain any false or misleading information, my application may be rejected. Also, the fellowship program can seek restitution for any funds expended. Applicant s Name: Applicant s Signature: Date: Date: Special Note: This is an application for the Bridge to the Doctorate (BTD) Graduate Fellowship Program at the University of Delaware. You must apply to and be accepted by a STEM graduate program at the University of Delaware to be eligible for the BTD fellowship. Page 3 of 3

Checklist of Required Documents University of Delaware Graduate Admissions Application Checklist* Complete University of Delaware Graduate Admissions Application (Candidates may apply online at www.grad.udel.edu/apply (The application fee is $75.00. Waivers will be granted by the central admissions office if the applicant is a Bridge to the Doctorate (BTD) aspirant. You must indicate that you are applying for the program by checking the "Bridge to the Doctorate (BTD) button" on the application (find the button under Additional Information in the sub-category Program Association). Please submit your application for fall 2016. Once you complete all information required for submission, please contact Dr. Keeley Powell (kpowell@udel.edu or 302-831-4377) for assistance with further submission and approval of the fee waiver. Personal Statement (The personal statement is generally 1-5 pages and is your opportunity to share relevant information about yourself, your goals, and why you would make a good match for the particular graduate program to which you are applying. Some programs ask that you address particular questions as your personal statement. Please check to see if your program requires this by clinking on the Personal Statement tab under the following link: www.grad.udel.edu/apply.) Letters of Recommendation (minimum of 3 required) (Candidates should use the Recommendations module within the on-line application. The module is unique in that you can sign up your recommenders, send off the e-mail links, continue to re-send the links yourself, change your recommenders and, finally, see when the recommender completed the form via your status page all before you click the final Submit button on your application). Unofficial Transcript (Official transcripts will be requested upon acceptance) Official copies of GRE test scores from ETS (Applicants should request all official test scores be reported directly to the University of Delaware. The test code for University of Delaware is 5811). Resume Supplemental Documentation (Please check to see if your program requires this by clinking on the Supplemental Documentation tab under the following link: www.grad.udel.edu/apply.) All University Graduate Admissions Application materials should be submitted electronically! *Each candidate for graduate admission should verify their intended program s application requirements at www.grad.udel.edu/apply. To be considered for admission, applicants must meet the admission requirements stipulated in the Graduate Program Policy Statement of the academic unit to which the student is applying. Admission to graduate programs at the University of Delaware is selective and competitive based on the number of well-qualified applicants and the limits of available faculty and facilities. Those who meet stated minimum academic requirements are not guaranteed admission, nor are those who fail to meet those requirements necessarily precluded from admission if they offer other appropriate strengths. Bridge to the Doctorate (BTD) Application Checklist ** Completed and Signed BTD Program Application Personal Statement (attach to BTD application) Resume (attach to BTD application) Copy of Unofficial Transcript (attach to BTD application) Copy of your Resident Alien card, if applicable **Please forward all Bridge to the Doctorate application materials by mail to: Attn. Ms. Veniece Keene, Project Coordinator, Philadelphia AMP, Drexel University, 3141 Chestnut Street,, Philadelphia, PA 19104. A copy of your submission should also be forwarded to Ms. Keene by email at VWK22@drexel.edu or via fax at 215-895-2098.