MELLON-MAYS UNDERGRADUATE FELLOWSHIP PROGRAM APPLICATION
March 15

IMPORTANT: ALL STUDENTS MUST FIRST BE NOMINATED BY A FACULTY MEMBER OF HUNTER COLLEGE PRIOR TO SUBMITTING AN APPLICATION. APPLICATIONS RECEIVED WITHOUT PRIOR NOMINATION WILL NOT BE ACCEPTED.

Applicants are required to submit the following:

                                                1) Completed application
                                                2) Five page maximum writing sample submitted in a recent course
                                                3) Two (2) letters of recommendation

PLEASE DOWNLOAD OR RECREATE THE APPLICATION ONTO YOUR PC AND SUBMIT COMPLETED APPLICATION AND WRITING SAMPLE TO:

lisette.nazario@hunter.cuny.edu

LETTERS OF RECOMMENDATION SHOULD BE MAILED VIA CAMPUS MAIL OR US POSTAL SERVICE TO:

Hunter College - Mellon Mays Undergraduate Fellowship Program
695 Park Avenue, Room HN1512
New York, NY 10065

SECTION I

GENERAL INFORMATION

DATE: ____/ ____/ ____

NAME: MR. []MS. []MRS. []

LAST NAME: _____________________________________________________

FIRST NAME: _____________________________________________________

M.I.: _____________________________________________________________

ADDRESS: _________________________________________________________________

_________________________________________________________________

TELEPHONE: HOME (____) ___________________

WORK (____) ___________________

SOCIAL SECURITY NO.: _______- _____ -_______

EMAIL: _____________________________________

MARITAL STATUS: SINGLE [] MARRIED [] DIVORCED [] SEPARATED

WIDOWED []

AGE: _______

SECTION II

EDUCATIONAL INFORMATION

MAJOR: __________________________________________________________________

G.P.A IN MAJOR: ___________________________________________________________

G.P.A.: __________________________________________________________________

CREDITS REGISTERED FOR: SUMMER 2012 __________________________

FALL 2012 __________________________

SPRING 2013 __________________________

PLEASE LIST ANY EDUCATIONAL HONORS, PROJECTS, OR OUTSTANDING ACHIEVEMENTS:

_______________________________________________________________________________

PROJECTED DATE OF GRADUATION: __________/ __________

SECTION 3

EMPLOYMENT INFORMATION

A. WERE YOU EMPLOYED DURING THE SUMMER 2012 [] YES[]NO

IF YES, INDICATE (1) DURATION __________________________________

(2) TYPE OF WORK ______________________________

(3) WEEKLY TAKE HOME PAY ____________________

B. ARE YOU EMPLOYED OR INTEND TO BE EMPLOYED DURING THE CALENDER YEARS 2012 AND/OR 2013 YES [] NO []

IF YES, INDICATE (1) DURATION ___________________________________

(2) HOURS WEEKLY ______________________________

(3) WEEKLY TAKE HOME PAY _____________________

STATEMENT: PLEASE SUPPLY ANY ADDITIONALLY RELEVANT INFORMATION ILLUSTRATING YOUR FINANCIAL NEED:

____________________________________________________________________________

SECTION 4

EXTRA-CURRICULAR ACTIVITIES

1. PLEASE LIST AND BRIEFLY DESCRIBE YOUR CURRENT INTERESTS.

________________________________________________________________________________

2. WHAT SCHOOL OR COMMUNITY ACTIVITY HAS BENEFITTED YOU THE MOST? PLEASE EXPLAIN.

________________________________________________________________________________

3. HAVE YOU HELD ANY POSITION IN A CLUB OR ORGANIZATION EITHER INSIDE OR OUTSIDE OF HUNTER? PLEASE LIST.

________________________________________________________________________________

SECTION 4-A

4. HAVE YOU TRAVELLED IN THE UNITED STATES OR ABROAD? PLEASE LIST WHERE.

________________________________________________________________________________

5. WHAT BOOKS HAVE YOU READ DURING THE PAST YEAR?(INCLUDE TITLE AND AUTHOR)WHY DID THESE BOOKS IMPRESS YOU?

________________________________________________________________________________

6. WHAT MOVIES, PLAYS, CONCERTS OR EXHIBITIONS HAVE IMPRESSED YOU THE MOST DURING THE PAST YEAR AND WHY?

________________________________________________________________________________

SECTION 4-B

7. WHAT ARE YOUR POSSIBLE CAREER INTERESTS AFTER COLLEGE?

________________________________________________________________________________

SECTION I

GENERAL INFORMATION

SECTION II

EDUCATIONAL INFORMATION

SECTION 3

EMPLOYMENT INFORMATION

SECTION 4

EXTRA-CURRICULAR ACTIVITIES

SECTION 4-A

SECTION 4-B

SECTION 5

PERSONAL STATEMENT I