Fellowship Application

Thank you for your interest in a Student Affairs Graduate Fellowship at UMass Lowell.

Applicant Information

First Name

Last Name

Preferred First Name

Campus Address (if applicable)

Home Address

City

State

Zip

Phone Number

Email Address

Fellowship Preferences

Please rank your interest in fellowships below with one being your first preference. Please leave blank fellowships you are not interested in.

First Preferences

Second Preferences

Third Preferences

Fourth Preferences

Education Information

Intended Admission Date

List all colleges and universities you have attended by date of enrollment in the following format Institution/Dates/Degree/Major(most recent first)

Additional Documents

Current Resume

Statement of Interest

References

List of names and contact information for three references

Reference 1 - Name

Reference 1 - Phone

Reference 1 - Email

Reference 2 - Name

Reference 2 - Phone

Reference 2- Email

Reference 3 - Name

Reference 3 - Phone

Reference 3- Email

I certify that my answers are true and complete and I give the Division of Student Affairs permission to verify my academic and judicial standing as well as any other information included in this application. If this application leads to employment, I understand that false or misleading information in my application or interview my result in my release.

*required fields