Pre-qualification Application Form, McNair Program | Earlham College Skip to Content

Pre-Qualification Application Form

Authorization and Affirmation

By submitting this form:

  • I hereby authorize the McNair Scholars Program staff to obtain academic, financial aid and other information pertinent to my participation in the McNair Scholar Program at Earlham College.
  • I understand that a copy of my application materials will be kept on file at the McNair Scholars Program Office and that the resulting information received from counselors, admission and financial aid officers, instructors, etc. will be keep confidential in compliance with the Family Educational Rights and Privacy Act (FERPA).
  • I affirm to the best of my knowledge that the information I have given in this application is true. 
    First and Last Name, please

    mm-dd-yyyy (i.e., 03-05-1995)

    You may enter "undecided."

    Parent Education

    Income Qualification



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Earlham College, an independent, residential college, aspires to provide the highest-quality undergraduate education in the liberal arts and sciences, shaped by the distinctive perspectives of the Religious Society of Friends (Quakers).

Earlham College
801 National Road West
Richmond, Indiana
1-765-983-1200 — Main Switchboard
1-800-EARLHAM (327-5426) — Admission


Earlham admits students of any race, color, national and ethnic origin, age, gender and sexual orientation to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin, age, gender and sexual orientation in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs.