In order to better serve those individuals serving as post-doctoral fellows at the University, the Graduate School asks that all of these fellows submit the following information. This will enable the Graduate School to monitor the fellows’ status and facilitate the delivery of campus services, including payroll. Please copy the information below into a Word Document and email to Barbara Ferguson at .(JavaScript must be enabled to view this email address).
Your registration will not be complete until you also send a copy of your CV and transcripts as a PDF to .(JavaScript must be enabled to view this email address).
Last Name
First Name
Are you of Hispanic or Latino Origin? Yes No
What is your race? Select one or more of the following categories.
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Email Address
Date Doctoral Degree Conferred (Month / Year)
Doctoral Degree Granting Institution
Local / Mailing Contact Information:
Street
City
State
Zip
Phone
Departmental / Campus Contact Information:
Department
Rm. / Building
Campus Phone
Source of Funding:
Title of Grant / Fellowship:
Grant Number
UM FRS Number (If Known)
Beginning Date of Appointment / Grant
Ending Date of Appointment / Grant
UM Faculty Sponsor
Sponsor’s Department
Previous Employer
Please provide a detailed explanation of any special circumstances or requests.
