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Minority Student Recruitment Project
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Minority Student Recruitment Project

Use this form to submit information on a particular student to the APSA Minority Student Recruitment Project (MID) database. Before submitting a student to the database, be sure that:

  • this student shows promise for graduate school;
  • this student has indicated an interest in pursuing graduate school; and
  • you or another faculty member have counseled the student.

Make sure you have the information available before using the form below. Most of the entries are required.

  STUDENT INFORMATION
Student name: Last:
First:
Gender:
Institution:
Mailing Address - Street:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
Email:
Grade point average:
Race/ethnicity:
   (If "Other," please provide any relevant description:
      )
Expected graduation date: Term:  Year: 
****Current sophomores, juniors, and seniors only****
Major(s):
Minor(s):
Fields of interest (enter from one to three):

1. Select from list



  or enter your own

2. Select from list



  or enter your own

3. Select from list



  or enter your own

Comments:

 
  SPONSOR INFORMATION
Sponsor name: Last:
First:
Relationship to student:
Email address: