APS Bridge Program
 
Partnership Institution Application
 
Institutional Information:
* Institution:
Website:
* Department:
Address1:
Address2:
Address3:
City:  State:  Zip: 
  * Indicate the highest physics degree your institution offers:
  Doctoral   Master's
Information provided in the Institutional Information section will be made available on the APS Bridge Program site.
 
Contact Faculty:
  Please list any faculty at your institution interested in increasing educational opportunities for underrepresented minority physics students. These contacts will receive news and project updates via the Bridge Program email list.
               Main Faculty Contact
* Name:
* Email:
Phone:
Address1: 
Address2: 
Address3: 
City:  State:  Zip: 
               Additional Contact 1
Name:
Email:
Phone:
Address1: 
Address2: 
Address3: 
City:  State:  Zip: 
               Additional Contact 2
Name:
Email:
Phone:
Address1: 
Address2: 
Address3: 
City:  State:  Zip: 
               Additional Contact 3
Name:
Email:
Phone:
Address1: 
Address2: 
Address3: 
City:  State:  Zip: 
Information provided in the Institutional Information section will be made available on the APS Bridge Program site.
* Diversity Initiatives:
  Does your university or department have any current or planned diversity initiatives or programs that would be helpful to underrepresented minorities in your department?
  
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* Minority Physics Degrees Awarded:
  How many underrepresented minority physics students have graduated from your institution during the past three years? For this program, APS defines the term underrepresented minority as African Americans, Hispanic Americans, or Native Americans who are U.S. citizens or permanent residents. We ask that you update these numbers annually to maintain your membership.
  Bachelor's degrees
(3 year total)		 Master's degrees
(3 year total)		 Doctorate degrees
(3 year total)
African American         
Hispanic American        
Native American        
Total          
* Currently Enrolled:
  Please comment on enrollment of underrepresented minority physics students at your institution.
  
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Comments (optional):
  Please provide any additional comments or information about your institution's minority graduation and enrollment rates.
  
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Faculty Members:
  How many underrepresented minority faculty members are in the department? Postdoctoral researchers?
Number of minority tenure-track or tenured faculty in the department:  
Total number of tenure-track or tenured faculty in the department:  
Number of minority postdocs in the department:  
Total number of postdocs in the department:  
How did you hear about the APS Bridge Program? (check all that apply)
     At a conference:    
     From a colleague
     From a member of the project staff
     From a print publication:    
     From a website:    
     Other:    
Information provided in the Diversity Information section will be made available on the APS Bridge Program site.
* Please upload a PDF version of your proposal here
* Student Application Policy

If the APS Partnership Program, through its investigations, finds serious issues with the conditions experienced by students at any graduate program, the Partnership Program can, with the approval of the APS Committee on Minorities (COM), suspend distribution of Partnership Program applications to that graduate program until the issues have been addressed to the satisfaction of COM. The Partnership Program will send a COM-approved, written description detailing the issues to the chair of the graduate program. Suspension of distribution of the applications will be for 2-years, and can only resume following a request by the graduate program for a subsequent review of issues.

I have read and understand the student application policy