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CALIFORNIA state university GRADUATE EQUITY FELLOWSHIP PROGRAM form DGS 01/13

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CALIFORNIA
GRADUATE EQUITY FELLOWSHIP
PROGRAM
Academic Year 2013-2014
ELIGIBILITY CRITERIA
APPLICATION DEADLINE: Thursday, May 16, 2013 by 5:00 p.m.
Contingent upon the availability of funds, the California Graduate Equity Fellowship with grants up
to $4,500 are available for underrepresented graduate students who qualify. Upon considering the
eligibility criteria listed below, if you wish to apply for a fellowship, file a completed Graduate Equity
Fellowship application with the Division of Graduate Studies, Harold H. Haak Administrative
Center, 4
th
floor, Henry Madden Library. Once selected, you may be funded for up to four
semesters, subject to maintaining satisfactory progress toward the completion of a graduate
degree. However, you must reapply each spring semester by filing a new Graduate Equity
Fellowship application with the Division of Graduate Studies. You must have on file for the
2013-2014 academic year, a Free Application for Federal Student Aid (FAFSA) with the Financial
Aid Office in Joyal Administration Building, Room 296.
Academic Qualifications: The applicant must be admitted to California State University, Fresno. The applicant must
be admitted to a graduate program, be enrolled in, and be making satisfactory progress toward the completion of a
graduate degree program and satisfy all criteria for admission to such a program (i.e., be classified or conditionally
classified). If you have not been admitted to a graduate program, you must file an application as required. For details
concerning admission requirements, consult the current University Catalog. As a fellowship recipient you will be
required to maintain a minimum grade point average of 3.0, and to engage in full-time studies toward a graduate
degree (i.e., enroll in 12 units or the equivalent each fall/spring semester; 200-series courses are weighted 1.5 per
unit; upon verification by the Division of Graduate Studies, zero-unit enrollment in GS Continuation or 298C, 299C
while completing a culminating experience may be considered full-time equivalent work). Your total number of units
may not exceed the total for your graduate degree program as indicated in the University Catalog. You must become
fully Classified and Advanced to Candidacy as soon as possible in order to have an approved course of study on file
with the Fellowship Coordinator.
Purpose of the Fellowship: This program seeks to increase the diversity of students completing graduate degree
programs in the CSU and encourages continuation on to doctoral programs and consideration of university
faculty careers. It provides fellowships for economically disadvantaged graduate students, especially from groups
that are underrepresented among graduate degree recipients in their areas of study and promotes faculty mentoring
and research opportunities.
Residency: The applicant must qualify as a resident of the State of California for payment of fees at the university.
Financial Need: The applicant must be prepared to demonstrate a minimum financial need of $1,000. You must
have filed a Free Application for Federal Student Aid (FAFSA) for 2013-2014 and comply with all the standard
requirements of the granting of financial assistance at CSUF. Also complete the Graduate Financial Assistance: Need
Profile included in this packet.
Conditions of the Fellowship: The successful recipients of this fellowship will be required to engage in a mentored
activity for a minimum of 5 hours and a maximum of 20 hours per week, based on the amount of their award.
Should you have questions about this program, please contact:
Louise Neal
Division of Graduate Studies
(559) 278-2448
e-mail: lneal@csufresno.edu
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CALIFORNIA GRADUATE EQUITY FELLOWSHIP PROGRAM 2013-2014
Last Name First Name
Address
Race/Ethnicity
Street Apartment # City State Zip
Email
Graduate Degree Program
University Application Filed Date filed:
FAFSA Application Filed Date filed:
GRE/GMAT/MAT Test Taken Date filed:
Graduate Financial Assistance Need Profile Completed
(included in this packet)
Have you previously been awarded a Graduate Equity Fellowship?
Courses:
Please list the courses you intend to take during the Academic Year 2013 - 2014
Course Name
# of
Units
Indicate: Prerequisites
Foundation, Core, Elective
Semester/Year of
Enrollment
I hereby make application to the 2013-2014 Graduate Equity Fellowship Program and affirm that the
information given above is true and correct.
Applicant Signature Date
Graduate Office Use Only
IDMiddle Initial
mm/dd/yyyy
mm/dd/yyyy
mm/dd/yyyy
Which semester(s)/year(s) funded?
Disabled
Date of Birth
Gender CA Resident
If Race/Ethnicity is "Other," please specify:
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Home No. (include area code) Message Phone (include area code)
Program GPA Cond. Class ATC New AS
# of units (weighted) (Check one: last 60 units grad program) Cont. AS
Full-time Need $ Eligibility AS
Part-time Date verified AS
Please specify.
CA
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Please answer the following:
1. Indicate what academic achievements and/or preparation you have or will acquire that will ensure your
success in doctoral studies.
2. Explain why you believe your application demonstrates a fulfillment of the purposes of this fellowship program.
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3. Describe your educational and career goals, your perception of the importance of acquiring an advanced degree, and your
commitment to completing a graduate degree at California State University, Fresno.
Applicant Signature ID# Date
Revised 01/13
Return completed application to:
Sharon Brown-Welty, Dean
Division of Graduate Studies
Harold H. Haak Administrative Center
4
th
floor, Henry Madden Library
5200 N. Barton Avenue, M/S ML 51
Fresno, CA 93740-8014
DEADLINE: Thursday, May 16, 2013 by 5:00 pm
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California State University, Fresno
Division of Graduate Studies
Graduate Financial Assistance: Need Profile
This form must be completed to ensure full consideration of your application.
Identify any Scholarship/Fellowship/Assistantship for which you have applied or for which you
intend to apply:
California Pre-Doctoral
Program
Forgivable Loan Program
Graduate Equity Fellowship
State Graduate Fellowship
Teaching Assistantships/Dept.
Other (Identify)
Student's Name:
Student ID #:
Graduate Program:
2013-14 Free Application for Federal Student Aid (FAFSA) filed
:
Date filed
:
Did you receive financial aid in 2012-2013?
If ‘yes,” give details concerning your award (name, amount, etc.)
Please answer all the following questions.
1. Were you claimed as an exemption on your parents' 2012 tax returns?
2. If you answered "yes" on #1, then skip to #3
2a. Are you presently married?
2b. Do you own a
home or rent?
3. Do you live at home with your parents?
4. How many family members lived in your home in 2012-2013? (count yourself)
5. How many members of your household attended college at least half time in 2012-2013? (count yourself)
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Please specify.
STUDENT'S RESOURCES, ASSETS AND LIABILITIES
ITEM Amount
RESOURCES:
Earnings (all sources)
Family Support
Interest Earnings
Scholarship/Assistantships Awarded
Total Resources
ASSETS:
Cash and Savings
Stocks and Bonds
Other Assets (excluding personal belongings)
Total Assets
LIABILITIES:
Loans (including Student and Home Loans)
Other debts
Total Debts
NET WORTH
PROJECTED COST OF ATTENDANCE AT FRESNO STATE FOR 2013 - 2014
Enter an amount for each of the following items that applies to you. Important: Enter "0" instead of leaving an item's amount blank.
Upon request, you must be prepared to document each item. If you are not certain of an exact figure, please estimate the approximate cost.
TUITION/FEES
University Application Fee ($55)
Fees/Tuition 9 months (Fall 2013, Spring 2014) *
Fees/Tuition 3 months (Summer 2014)
Parking (Fall $93; Spring $93; Summer $44)
GRE/GMAT preparation seminar fees
GRE/GMAT test fees
Amount due to be paid back on educational loan
Application for the graduate degree to be granted ($35)
Sub-Total Tuition/Fees
ROOM/BOARD
Room/Board/Utilities 9 months (Fall 2013, Spring 2014)
Room/Board/Utilities 3 months (Summer 2014)
Sub-Total Room/Board
SUPPLIES/MATERIALS
Books and study supplies
Lab fees associated with coursework
Transportation associated with internship or fieldwork
Fees for copies of documents needed for professional placement
Sub-Total Supplies/Materials
PERSONAL
Initial costs for transportation to Fresno to begin graduate studies
Monthly expense to commute to CSUF: car/insurance
Medical/health insurance
Other Medical/Dental
Spouse/Children
Child care
Sub-Total Personal
PROFESSIONAL
DEVELOPMENT
Required travel to professional meetings
Professional conference registration
Professional organization membership
Professional journal subscription
Other fee-based seminars
University lecture series
Other
Sub-Total Professional Development
TOTAL COST
* Note: Graduate Equity Fellowship recipients must enroll in 12 units or the equivalent each fall/spring semester; 200-series courses
are weighted 1.5 per unit; upon verification by the Graduate Office, zero-unit enrollment in GS Continuation or 298C, 299C while
completing a culminating experience may be considered full-time equivalent work.
I certify that the above information is true and correct.
Signature (ink) Date
Graduate Office Use Only
Student’s Need
(Costs less Resources)
-
Cost Resources Student’s Need
List all sources of income that you received during the academic year 2012-2013. (If you marked "yes" to #1, on the previous page, then include your parents'
information in your response to each of the following questions.) Important: Enter "0" instead of leaving an item's amount blank.
=
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California State University, Fresno - Graduate Equity Fellowship Program
COMMENTS: Explain any special circumstances that may affect your financial status.
(E.g., reduction of hours at work, absence of spousal/parental financial support, etc.)
Application cannot be saved, so please be sure to print the form before you close this document.
DGS 01/13
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CALIFORNIA state university GRADUATE EQUITY FELLOWSHIP PROGRAM form DGS 0113

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