Yates Fellowship Program
Nomination Coversheet/Checklist
2016-17
Nominee’s Name:
Nominating Program:
Underrepresentation African American Asian/Pacific Islander  Latino/a or Hispanic American
Native American/Alaskan Native Other __________________________
Nomination Checklist
All items are required unless otherwise noted. Nominations will only be accepted electronically. Please
scan all documents as a single PDF in the order in which they are listed on this Nomination
Coversheet/Checklist. This nomination sheet will be the first page. Please submit the completed application to
megan.tischner@uc.edu by Friday, January 29, 2016, at 5 p.m. (first application pool) or Friday, March 4,
2016, at 5 p.m. (second application pool).

Completed University Graduate Admissions Application

Undergraduate Transcript (unofficial transcripts acceptable)
Undergraduate Institution
GPA

Graduate Transcript (if applicable. Unofficial transcripts acceptable)
Graduate Institution
GPA

Standardized Test Scores (if part of program requirements – highly recommended)
Total
Score
%
Score
GRE
Verbal
Quant
GMAT
Verbal
Quant
MCAT
Verbal
Physical
Science
%
Score
Analytical
Writing
Analytical
Writing
Essay
%
Score
Subject:
Biological
Science
Other:

Nominee’s Statement of Purpose and CV/resume (if available)

Letters of Recommendation (as required by department, not to exceed three)

Statement of recommendation from the program/department, with the following information included:
%

Ranking if department submits multiple nominees (departments may submit no more than
three (3) nominees)

Rationale that persons of the nominee’s ethnicity are seriously underrepresented in the
nominee’s program

A thorough plan for academic and mentoring support of the candidate, including a timeline
until graduation

Affirmation that the program will support the Yates candidate with at least the same level of
funding as other graduate assistants with equal responsibility in the program for all years as
long as the student is attending full-time (12 credit hours/term) and making satisfactory
progress towards his or her degree

The program’s allocation plan for funding the candidate using funds from both the Graduate
School award and programmatic funds

Description of the program’s record of graduating underrepresented students from the
program
Nomination Approved by:
_________________________________________________
Graduate Program Director (signature)