What is a McNair Scholar?
The Xavier University Ronald E. McNair Post-Baccalaureate Achievement Program is a program funded by the United States Department of Education designed to increase the numbers of first-generation, low income and underrepresented students completing
doctoral programs.
Xavier McNair Scholar Will:
Participate in a bi-weekly and/or monthly seminar series offered each semester
Attend professional meetings, research symposia, and graduate school visitations, network with alumni who
have completed Ph.D. programs
Enroll in courses/seminars designed to strengthen miring, test taking and technological skills
Meet with program administrators 2-3 times each semester for individual advising & counseling
Successfully complete research projects demonstrated by publications of a paper and/or presentation of their
research project results
Attend Annual Fall Grad Fair hosted by The Office of Graduate Placement & University Summer Programs
Receive extensive graduate school preparation
Be equipped to successfully enter and complete doctoral programs
Have the opportunity to work in mentoring relationships with faculty members
To Apply:
Complete the freshmen year (30 credit hours minimum);
Can maintain a minimum of a 3.0 cumulative grade point average, if accepted;
Maintain good academic and disciplinary standing with Xavier University;
Qualify as a low income/first generation or underrepresented eligibility;
Express a desire to pursue graduate study through the Ph.D. level;
Provide a Letter of Recommendation from a faculty member;
Provide a CV or Resume that includes a listing of any previous research;
Complete a mock interview with the Office of Career Services prior to interviewing;
Provide and maintain an updated listing of programs, as well as any funding, federal or non-federal, provided
by these programs; and
Along with completed application, any student applying under the low income objective, must provide a copy of
the income and tax information,
Submit a statement of purpose that outline your goals, personal ambitions, future plans, and describing as precisely as possible your academic and research interest and needs.
Selection Process:
 Complete and submit an application;
 Receive an invite to interview;
A committee consisting of the Xavier McNair Program director and assistant director and two faculty liaisons will review completed
applications packets and then make selections. Selected students may represent a diversity of majors and may have either junior or
senior standing.
If there are any questions, please contact The Office of Graduate Placement (504) 520-7633.
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XAVIER UNIVERSITY OF LOUISIANA
RONALD E. MCNAIR POSTBACCALAUREATED ACHIEVEMENT PROGRAM
(Please type or print clearly. Answer ALL items.)
Part I. STUDENT INFORMATION
DATE: ______________
1. Full Name:___________________________________________________________________________
Last
First
Middle
2. Ethnicity:
Black (non – Hispanic)
Pacific Islander
Native American Hispanic
White
Other ____________________
3. Date of Birth: ___/___/___
4. Gender:
Male
Female
5. SSN: __ __ __-__ __ -__ __ __ __
6. E-Mail: __________________________________
7. XU ID: __ __ __-__ __- __ __ __ __
8. Local Address: ________________________________________________________________________
(Off Campus or Campus Address, City, State, Zip)
9. Permanent Address (if different from above):
Check if same as above □
____________________________________________________________________________________
(Address, City, State, Zip)
10. Local Phone: (504) ________________ Cellular: (______)______________ Permanent Phone: (____)_______________
11. Date first enrolled at Xavier (ex. Fall 2012): ________________________
12. Expected Graduation Date (ex. May 2015): _________________________
13. Current Classification (Circle):
Freshman
Sophomore
14. Major: ________________________________
Junior
Senior
15. Cumulative GPA: _____
16. Area of Interest for Graduate Study: __________________ 17. Citizenship: U.S. _____ Other (specify): ____________
18. Do you currently receive a pell-grant?
Yes
No
19. T-shirt Size:
M L XL 2XL 3XL
20. I give permission for the Office of Graduate Placement to access to my transcript for candidacy selection
purposes.. Yes _______ No___________
Part II. NEEDS ASSESMENT
Please check below those services provided by the Xavier McNair Program which you feel will assist in the pursuit of a Graduate
Degrees. Check all that apply.
Tutoring (Specify which courses)
Prep for GRE (LSAT, GMAT, etc)
Choosing Graduate Schools
Info about the Graduate School application process
Campus visits to Graduate Schools
One-on-one assistance with completing the Graduate
School Applications
How to write a successful Personal Statement
Summer Research opportunities
Information about Financial Aid for Graduate School
Acquiring time-management/study skills
Other (Specify)
Strategies for success in Graduate School
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Part III. Eligibility Information
Statement of Confidentiality. The information below is required by the U.S. Department of Education under the authority of the Higher Education Act
of 1965. It is used solely for the determination of the applicant’s eligibility for the Xavier McNair Program. It will be treated with full confidentiality.
All questions must be answered for consideration.
First Generation College Student Status
Yes
No
YES
NO
Did either biological parent/legal guardian graduate from college? (If YES, provide 1. The name
of the institution; 2. Degree obtained, and 3. Major/Field of Study)
Did you regularly reside with and receive financial support from a single parent who did NOT
receive a bachelor (or higher) degree?
Did you regularly reside with and receive financial support from a biological parent/legal guardian?
Financial Eligibility
YES
NO
Born before Jan, 1, 1984
Are you married?
Veteran of U.S. Armed Forces?
Orphan or Ward of the Court?
Grad Professional Student in 20132014
Have dependents other than spouse?
Complete the following column below based on whether Xavier’s Office of Financial Aid classifies you as DEPENDENT or
INDEPENDENT taxpayer.
DEPENDENT
You must provide our office with your parent(s)/
guardian’s current year’s tax return or the information
requested below along with the signature of the
parent(s)/guardian(s) that claimed you as a dependent in
the most recent tax year.
INDEPENDENT
You must provide our Office with the current year’s
income tax return or the information requested below
along with your signature. In addition, students
claiming an independent status MUST proof of independence from the Financial Aid Office.
INCOME and FAMILY SIZE
Income tax filed for 2015? ( Yes or No) _____
Number of Dependents in 2015___________
Adjusted Gross Income for 2015___________
INCOME and FAMILY SIZE
Income tax filed for 2015? ( Yes or No)
Number of Dependents in 2015___________
Adjusted Gross Income for 2015___________
____________________________
__________________________
Print (parent/guardian) Name
____________________________
Signature (Parent/guardian)
Relationship to student: (Circle) Parent Guardian
Print (Yours) Name
__________________________
Signature (Yours)
By signing below, you certify that all information on this form is true and complete to the best of you knowledge. If
asked you agree to give proof of the information which may include a copy of our U.S. or state income tax forms. If
you purposely give false or misleading information, you may be fined $10,000, sent to prison or both.
______________________________________________
_________________
Signature
Date
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PART IV. ACADEMIC SUPPORT PROGRAMS
Provide a listing of any additional programs or organizations that provide funding support for your academic pursuit and research experiences.
□ I am not a member of any program that provides additional funding for my research or academic pursuit.
PROGRAM NAME
FUNDING AMOUNT
PAYMENT FREQUENCY
******************************FOR OFFICE USE OLY*****************************************
1st Generation
Yes or No
Pell-Eligible
Yes or No
Underrepresented
Yes or No
Grad Yr. ___________________
Original Decision: Accepted
Denied Date: _________
Reconsidered, Accepted: (Date)________________
Classification when accepted: __________________
Withdrew or Dismissed McNair: (Date)____________
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