Student Information Student Name UMID Email Address Michigan Resident (i.e., in-state tuition)?YesNo U.S. Citizen?YesNo Program Level:Please select... MS PhD Pre-Candidate MLA PhD Candidate Field of Study:Please select... Behav, Educ, & Comm Conservation Ecology Environmental Informatics Environmental Justice Env Policy & Planning Landscape Architecture Sustainable Systems REM RPB First Term in Program: Joint DegreeYesNo Joint DegreePlease select... Engineering Sustainable Systems Erb Law OTHER Please specify the degree Appointing Faculty to complete this section Process a GSRA appointment for this student as indicated: Appt Fraction %: Term(s):Please select... Fall Winter Fall & Winter Spring/Summer Shortcode #1: Proj/Grant #1: are you using a second short code?YesNo Appt Fraction %: Term(s):Please select... Fall Winter Fall & Winter Spring/Summer Shortcode #2: Proj/Grant #2: Faculty Name: By Checking this box you agree to electronically sign the form. Signature Date Contact Information
