Department of Political Science
APPLICATION FOR GRADUATE FINANCIAL SUPPORT
Name: ______________________________________ SS#:_______________________ WSU PID:
Address: ______________________________________________________________________
Phone: _____________________________________________email:____________________
Michigan resident? yes___ no___
U.S. Citizen? yes____ no____
Country of citizenship_________________
Permanent resident? yes___ no___
Please check and write in year you first registered in the graduate program in political science
Fall
Winter
Spring/Summer
Which program are you enrolled in?
MA
MPA
PhD
GRE Score ____
Undergrad GPA ____
Current GPA _____
List below all intuitions attended, beginning with the most recent. Use an additional page if necessary to
list all institutions of higher learning you have attended. Attach transcripts for any institution not currently
on file in the Political Science Department
College/University
Degree Awarded
Date
Department
GPA
List below all scholarships, fellowships, assistantships, and other awards that you have received,
attaching additional pages as necessary.
Award
Institution
Dates held
List below relevant employment and professional experience relating to your degree objective, attaching
additional pages as necessary.
Position
Address
Dates held
Indicate all awards for which you wish to apply:
Rumble Fellowship
Liberal Arts & Sciences Doctoral
Fellowship
Sarasohn Dissertation Year Fellowship
Graduate Teaching
Assistantship
Graduate Research
Assistantship
Housing Allowance
Attach a short description (less than one page) of your educational background and objectives. Indicate
your past academic and research accomplishments as well as new projects you plan to accomplish. We
encourage you to include important academic projects that demonstrate your creativity, originality, and
capacity for independent research and study.
Department of Political Science
COMPLETE THIS FORM ONLY IF YOU ARE CURRENTLY IN THE WSU POLITICAL SCIENCE
PROGRAM.
Credit hours completed toward program at end of current term ___________
Grade point average in Political Science courses at Wayne State __________
Plan of work filed?
 yes Please attach copy of approved plan of work to this application
 no
NB: Application will not
be considered until an approved
Plan of Work is on file in the department
M.A. Students Only:
Ph.D. Students Only:
Written comprehensive exam completed?
 yes
 no
Oral preliminary exam completed?
 yes
 no
Written qualifying exam completed?
 yes
 no
Oral qualifying exam completed?
 yes
 no
Number of years on teaching assistantship: ___________________
Number of courses you have taught in CLL or during Spring/Summer term: ________
Number of years you have held a research assistantship: _____________
Number of years you have held a Rumble or other Wayne State fellowship _________
Number of years you have held any other fellowships: _____________________
Have you applied for an external fellowship for next year?
 yes
 no
If so, where? _______________________________
Have you helped prepare a research grant proposal?


yes
no
Applicants who have previously served as a graduate teaching assistant in the department should submit
copies of student course evaluations.