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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.

  SPONSOR INFORMATION
Name:
Relationship to Student:
Email Address:
  STUDENT INFORMATION
Name:
Gender:
Institution:
Mailing Address - Street:
City:
State/Province:
Postal Code:
Country:
Phone:
Email:
Grade Point Average:
Race/Ethnicity:
   (If "Other," please provide any relevant description:
      )
Expected Graduation Date: Term:  Year: 
****Current sophmores, 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: