***^GRADUATE\ STUDENT\ FOLLOW-UP\ SURVEY^***

***^Conducted\ by\ WestEd\ for^***

***^The\ National\ Science\ Foundation^***

**^Purpose\ of\ the\ study:\ ^**^This\ survey\ is\ being\ conducted\ for\ the\ National\ Science\ Foundation\ as\ part\ of\ its\ efforts\ to\ learn\ about\ the\ educational,\ professional\ career\ advancement,\ and\ scholarly\ achievements\ of\ graduate\ students.\ The\ survey\ is\ soliciting\ responses\ from\ a\ sample\ who\ began\ graduate\ programs\ between\ 1989\ and\ 1993.\ The\ study\ is\ designed\ to\ collect\ information\ on\ the\ careers\ and\ accomplishments\ of\ graduate\ students\ who\ changed\ programs,\ left\ before\ completion,\ completed\ their\ degrees,\ or\ are\ still\ enrolled.\ ^

**^Use\ of\ information:\ ^**^The\ results\ of\ the\ survey\ will\ assist\ the\ National\ Science\ Foundation\ in\ assessing\ the\ effectiveness\ of\ its\ programs\ that\ support\ graduate\ education,\ will\ be\ used\ to\ consider\ modifications\ to\ current\ programs,\ and\ will\ inform\ and\ facilitate\ reporting\ as\ part\ of\ the\ Government\ Performance\ and\ Results\ Act.\ Any\ information\ that\ would\ permit\ identification\ of\ individual\ respondents\ will\ be\ held\ in\ strict\ confidence.\ Your\ response\ is\ voluntary\ and\ failure\ to\ provide\ some\ or\ all\ of\ the\ requested\ information\ will\ not\ in\ any\ way\ adversely\ affect\ you.^

*^Privacy\ Act\ and\ Public\ Burden\ Statements.^*^\ The\ information\ requested\ on\ this\ survey\ is\ solicited\ under\ the\ authority\ of\ the\ National\ Science\ Foundation\ Act\ of\ 1950,\ as\ amended.\ The\ information\ from\ this\ data\ collection\ will\ be\ retained\ as\ part\ of\ the\ Privacy\ Act\ system\ of\ Records\ in\ accordance\ with\ the\ Privacy\ Act\ of\ 1974.\ Data\ submitted\ will\ be\ used\ in\ accordance\ with\ the\ criteria\ established\ by\ NSF\ for\ monitoring\ research\ and\ education\ grants,\ and\ in\ response\ to\ Public\ Law\ 99-383\ and\ 24\ USC\ 1885c.\ The\ information\ requested\ may\ be\ disclosed\ to\ qualified\ researchers\ and\ contractors\ or\ in\ order\ to\ coordinate\ programs\ and\ to\ a\ Federal\ agency,\ court\ or\ party\ in\ a\ court\ or\ Federal\ administrative\ proceeding\ if\ the\ government\ is\ a\ party.\ Information\ may\ be\ added\ to\ and\ maintained\ by\ the\ Education\ and\ Training\ System\ of\ Records\ 63\ Federal\ Register\ 264,\ 272\ (January\ 5,\ 1998).^

^Submission\ of\ information\ is\ voluntary.\ Public\ burden\ for\ this\ collection\ of\ information\ is\ estimated\ to\ average\ .75\ hours\ per\ response,\ including\ the\ time\ for\ reviewing\ instructions.\ Send\ comments\ regarding\ this\ burden\ estimate\ and\ any\ other\ aspect\ of\ this\ collection\ of\ information,\ including\ suggestions\ for\ reducing\ this\ burden\ to:\ Suzanne\ Plimpton,\ Reports\ Clearance\ Officer,\ Systems\ and\ Services\ Branch,\ Division\ of\ Administrative\ Services,\ National\ Science\ Foundation,\ Arlington,\ VA\ 22230.\ An\ agency\ may\ not\ conduct\ or\ sponsor,\ and\ a\ person\ is\ not\ required\ to\ respond\ to,\ a\ collection\ of\ information\ unless\ it\ displays\ a\ currently\ valid\ OMB\ control\ number.\ The\ OMB\ number\ for\ this\ survey\ is\ 3145-0136.^

***INSTRUCTIONS***

^Thank\ you\ for\ taking\ the\ time\ to\ complete\ this\ important\ questionnaire.\ Directions\ are\ provided\ for\ each\ question.\ Because\ not\ all\ questions\ will\ apply\ to\ everyone,\ you\ may\ be\ asked\ to\ skip\ certain\ questions.^

· ^Please\ use\ a\ black\ pen\ or\ dark\ lead\ pencil^

·
^When\ answering\ questions\ that\ require\ marking\ a\ box,\ please\ use\ an\ "X".^

·
^When\ this\ questionnaire\ was\ pilot\ tested,\ respondents\ commented\ that\ it\ would\ be\ useful\ to\ have\ a\ curriculum\ vita\ handy\ to\ assist\ in\ completing\ some\ of\ the\ questions.^

·
^If\ you\ have\ any\ questions\ about\ completing\ this\ questionnaire,\ please\ call\ WestEd\'s\ toll\ free\ number\ at\ 877-221-2216\ between\ 8:00\ a.m.\ and\ 5:00\ p.m.\ Pacific\ Time.^

**^Please\ return\ the\ survey\ in\ the\ enclosed\ envelope\ within\ 7\ days\ to:^**

^\ Evaluation\ Research^

^\ WestEd^

^\ 4665\ Lampson\ Avenue^

^\ Los\ Alamitos,\ CA\ 90720^

^Thanks\ again\ for\ your\ help.\ We\ really\ appreciate\ it.^

^We\ will\ ask\ you\ to\ use\ codes\ that\ describe\ your\ fields\ of\ study\ in\ several\ of\ the\ questions\ in\ this\ survey.^

**^Field\ of\ Study\ Codes^**

+----------------+----------------+----------------+----------------+
| **[Biolo       | ^\ ^**^[Physic | *              | ^\ ^*          |
| gical/Life/Ag. | al\ Sciences]{ | *^\ ^^[Social\ | *^[Education]{ |
| Sciences]      | .underline}^** |  and\ Behavior | .underline}^** |
| {.underline}** |                | al\ Sciences]{ |                |
|                | ^              | .underline}^** | ^61\ Teach     |
| 01 Biochem. &  | 21\ Chemistry^ |                | er\ Education^ |
| Molecular      |                | ^4             |                |
| Biology        | ^22\ Physics^  | 1\ Psychology^ | ^62\ Educ      |
|                |                |                | ation,\ Other^ |
| 02 Cell &      | ^23            | ^              |                |
| Developmental  | \ Mathematics^ | 42\ Economics^ | ^\ ^**^        |
| Biology        |                |                | [Business\ and |
|                | ^24\ Compu     | ^43\ Polit     | \ Management]{ |
| 03 Molecular   | ter\ Sciences^ | ical\ Science^ | .underline}^** |
| and General    |                |                |                |
| Genetics       | ^25            | ^              | ^71\ Bus       |
|                | \ Geosciences^ | 44\ Sociology^ | .\ Mgmt\ and\  |
| 04             |                |                | Admin.\ Serv.^ |
| Neuroscience   | ^2             | ^45\           |                |
|                | 5\ Statistics/ |  Anthropology^ | ^72\ C         |
| 05             | Biostatistics^ |                | ommunications^ |
| Pharmacology   |                | ^              |                |
|                | ^27\           | 46\ Geography^ | ^79\ Busine    |
| 06 Ecology,    | Astrophysics/^ |                | ss\ and\ Manag |
| Evolution &    |                | ^4             | ement,\ Other^ |
| Behavior       | ^              | 9\ Social\ Sci |                |
|                | \ \ Astronomy^ | ences,\ Other^ | ^\ ^**^[O      |
| 07 Physiology  |                |                | ther\ Professi |
|                | ^28\           | ^\ ^**         | onal\ Fields]{ |
| 08             |  Oceanography^ | ^[Humanities]{ | .underline}^** |
| Agricultural   |                | .underline}^** |                |
| Sciences,      | ^29\ Physical  |                | ^81\ Ar        |
| Other          | \ Sci,\ Other^ | ^51\ History^  | chitecture,\ E |
|                |                |                | nviron.Design^ |
| 09 Biological  | ^\ ^**^        | ^52            |                |
| and Life       | [Engineering]{ | \ English\ Lan | ^82\ Ho        |
| Sciences,      | .underline}^** | g.\ and\ Lit.^ | me\ Economics^ |
| Other          |                |                |                |
|                | ^              | ^53            | ^83\ Law^      |
| ^\ ^**^[Heal   | 31\ Electrical | \ Foreign\ Lan |                |
| th\ Sciences]{ | \ Engineering^ | g.\ and\ Lit.^ | ^84\ Lib       |
| .underline}^** |                |                | rary\ Science^ |
|                | ^32\ Mech.     | ^54\ Amer      |                |
| ^11\ M         | \ Engineering^ | ican\ Studies^ | ^85\ Public\ A |
| edicine\ (MD)^ |                |                | dministration^ |
|                | ^33\ Chemical  | ^5             |                |
| ^12\ Nursing^  | \ Engineering^ | 5\ Archeology^ | ^86\ S         |
|                |                |                | ocial\ Work\ ^ |
| ^13\ Pharmacy^ | ^34\ Civil     | ^5             |                |
|                | \ Engineering^ | 6\ Art\ Histor | ^              |
| ^14\ Veterin   |                | y\ &\ Related^ | 87\ Theology/R |
| ary\ Medicine^ | ^35\ Materials |                | eligious\ Ed.^ |
|                | \ Engineering^ | ^5             |                |
| ^15\ P         |                | 7\ Philosophy^ | ^89\ Other\ P  |
| ublic\ Health^ | ^36\ Aer       |                | rofessional\ F |
|                | ospace\ Engr.^ | ^58\ Per       | ields,\ Other^ |
| ^16\ Environm  |                | forming\ Arts^ |                |
| ental\ Health^ | ^37\ Biom      |                | ^90\ ^         |
|                | edical\ Engr.^ | ^59\ Human     | **^[Other\ Fie |
| ^17\ Health\ A |                | ities,\ Other^ | lds,\ not\ inc |
| dministration^ | ^              |                | luded\ above]{ |
|                | 38\ Industrial |                | .underline}^** |
| ^1             | \ Engineering^ |                |                |
| 9\ Health\ Sci |                |                |                |
| ences,\ Other^ | ^39\ Engine    |                |                |
|                | ering,\ Other^ |                |                |
+----------------+----------------+----------------+----------------+
|                |                |                |                |
+----------------+----------------+----------------+----------------+

-   **^Section\ 1:\ Graduate\ Education^**

^In\ this\ section\ we\ ask\ you\ some\ questions\ about\ your\ experiences\ in\ graduate\ school.\ ^

+----------------+----------------+---------------+----------------+
| -   *          | Field of       | \             | \              |
| *^1.1^^\ ^^Wha | Study\         | Degree Sought | Dates Enrolled |
| t\ was\ the\ ^ | Codes (page 2) |               |                |
| ^[most\ recent |                |               |                |
| ]{.underline}^ |                |               |                |
| ^\ doctoral\ p |                |               |                |
| rogram\ you\ w |                |               |                |
| ere\ enrolled\ |                |               |                |
|  in?\ If\ you\ |                |               |                |
|  have\ never\  |                |               |                |
| been\ enrolled |                |               |                |
| \ as\ a\ docto |                |               |                |
| ral\ student,\ |                |               |                |
|  please\ use\  |                |               |                |
| the\ ^^[most\  |                |               |                |
| recent]{.under |                |               |                |
| line}^^\ maste |                |               |                |
| r\'s\ program\ |                |               |                |
|  you\ were\ en |                |               |                |
| rolled\ in.^** |                |               |                |
|                |                |               |                |
| \              |                |               |                |
| Institution    |                |               |                |
| and Location   |                |               |                |
+----------------+----------------+---------------+----------------+
|                |                |               |                |
+----------------+----------------+---------------+----------------+
|                | ^Number^       | ^Type^        |                |
+----------------+----------------+---------------+----------------+
|                |                |               |                |
+----------------+----------------+---------------+----------------+
|                |                |               |                |
+----------------+----------------+---------------+----------------+
|                |                |               |                |
+----------------+----------------+---------------+----------------+
|                |                |               |                |
+----------------+----------------+---------------+----------------+

^For\ the\ remainder\ of\ this\ survey,\ the\ graduate\ program\ identified\ above\ will\ be\ your\ ^**^[Reference\ Program]{.smallcaps}^^.^**

+----------------------------------+----------------------------------+
| -   **^1                         | ^Yes\                            |
| .2^^\ ^^Did\ you\ leave\ the\ ^^ | \ Continue\ with\ Question\ 1.3^ |
| [first]{.underline}^^\ graduate\ |                                  |
|  program\ in\ which\ you\ enroll |                                  |
| ed\ without\ completing\ the\ de |                                  |
| gree\ you\ initially\ sought?^** |                                  |
|                                  |                                  |
| ^q^                              |                                  |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+
| ^q^                              | ^No\ \ Go\ to\ Question\ 1.7^    |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+

+----------------+----------------+---------------+----------------+
| -   **^1.      | Field of       | \             | \              |
| 3^^\ ^^Which\  | Study\         | Degree Sought | Dates Enrolled |
| program\ did\  | Codes (page 2) |               |                |
| you\ leave?^** |                |               |                |
|                |                |               |                |
| \              |                |               |                |
| Institution    |                |               |                |
| and Location   |                |               |                |
+----------------+----------------+---------------+----------------+
|                |                |               |                |
+----------------+----------------+---------------+----------------+
|                | ^Number^       | ^Type^        |                |
+----------------+----------------+---------------+----------------+
|                |                |               |                |
+----------------+----------------+---------------+----------------+
|                |                |               |                |
+----------------+----------------+---------------+----------------+
|                |                |               |                |
+----------------+----------------+---------------+----------------+
|                |                |               |                |
+----------------+----------------+---------------+----------------+

+---+-------------------------------+-------------------------------+
|   | -   **^1.4^^\ ^^Wha           | ^                             |
|   | t\ was\ your\ status\ when\ y | Left\ with\ master's\ degree^ |
|   | ou\ left\ this\ program?\ ^** |                               |
|   |                               |                               |
|   | -   **^\                      |                               |
|   |  ^^Mark\ all\ that\ apply.^** |                               |
|   |                               |                               |
|   |     -   ^1.\ ^                |                               |
|   |                               |                               |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^2.\ ^                    | ^Left\ at\ \"All\             |
|   |                               |  But\ Dissertation\"\ status^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^3.\ ^                    | ^L                            |
|   |                               | eft\ with\ other\ credential^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^4.\ ^                    | ^Left\ with                   |
|   |                               | \ no\ degree\ or\ credential^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+

+---+---+------------------------------------------------------------+
|   |   | -                                                          |
|   |   |  **^1.5^^\ ^^Which\ of\ the\ following\ influenced\ your\  |
|   |   | decision\ not\ to\ complete\ the\ program\ you\ left?\ ^** |
|   |   |                                                            |
|   |   | -   **^\ ^^Mark\ all\ that\ apply.^**                      |
|   |   |                                                            |
|   |   | ^To\ accept\ employment\ in\ my\ field\ of\ study^         |
+---+---+------------------------------------------------------------+
|   |   |                                                            |
+---+---+------------------------------------------------------------+
|   |   | ^To\ accept\ employment\ in\ another\ field^               |
+---+---+------------------------------------------------------------+
|   |   | ^The\ possibility\ of\                                     |
|   |   |  more\ employment\ opportunities\ in\ a\ different\ field^ |
+---+---+------------------------------------------------------------+
|   |   | ^The\ poss                                                 |
|   |   | ibility\ of\ making\ more\ money\ in\ a\ different\ field^ |
+---+---+------------------------------------------------------------+
|   |   | ^My\ chosen\ work\ does\ not\ require\ a\ PhD\ ^           |
+---+---+------------------------------------------------------------+
|   |   | ^To\                                                       |
|   |   | move\ with\ my\ faculty\ adviser\ to\ a\ new\ institution^ |
+---+---+------------------------------------------------------------+
|   |   | ^To\ enter\ a\ different\ graduate\ program^               |
+---+---+------------------------------------------------------------+
|   |   | ^Financial\ problems\ ^                                    |
+---+---+------------------------------------------------------------+
|   |   | ^Medical\ reasons\ ^                                       |
+---+---+------------------------------------------------------------+
|   |   | ^Family\ or\ other\ personal\ reasons^                     |
+---+---+------------------------------------------------------------+
|   |   | ^Problems\ meeting\ academic\ requirements^                |
+---+---+------------------------------------------------------------+
|   |   | ^Problems\ with\ my\ dissertation\ adviser^                |
+---+---+------------------------------------------------------------+
|   |   | ^A\ non-supportive\ department\ climate^                   |
+---+---+------------------------------------------------------------+
|   |   | ^T                                                         |
|   |   | he\ environment\ for\ minority\ students\ in\ my\ program^ |
+---+---+------------------------------------------------------------+
|   |   |                                                            |
+---+---+------------------------------------------------------------+
|   |   | ^The\ environment\ for\ women\ students\ in\ my\ program^  |
+---+---+------------------------------------------------------------+
|   |   |                                                            |
+---+---+------------------------------------------------------------+

+---+------------+------------+------------+--------+------------+
|   | -          | \          | \          | \      | ^Not\ A    |
|   | **^1.6^^\  | ^          | ^Sat       | ^Poor^ | pplicable^ |
|   | ^^Of\ item | Excellent^ | isfactory^ |        |            |
|   | s\ 1-15\ a |            |            |        |            |
|   | bove,\ whi |            |            |        |            |
|   | ch\ one\ w |            |            |        |            |
|   | as\ the\ ^ |            |            |        |            |
|   | *^most^*^\ |            |            |        |            |
|   |  important |            |            |        |            |
|   | \ in\ maki |            |            |        |            |
|   | ng\ the\ d |            |            |        |            |
|   | ecision\ t |            |            |        |            |
|   | o\ leave\  |            |            |        |            |
|   | your\ grad |            |            |        |            |
|   | uate\ prog |            |            |        |            |
|   | ram?\ Plac |            |            |        |            |
|   | e\ number\ |            |            |        |            |
|   |  in\ space |            |            |        |            |
|   | .\ \_\_\_\ |            |            |        |            |
|   | _\_\_\_^** |            |            |        |            |
|   |            |            |            |        |            |
|   | -          |            |            |        |            |
|   |    **^1.7^ |            |            |        |            |
|   | ^\ ^^Pleas |            |            |        |            |
|   | e\ evaluat |            |            |        |            |
|   | e\ the\ fo |            |            |        |            |
|   | llowing\ a |            |            |        |            |
|   | spects\ of |            |            |        |            |
|   | \ your\ ^^ |            |            |        |            |
|   | [Reference |            |            |        |            |
|   | \ Program] |            |            |        |            |
|   | {.smallcap |            |            |        |            |
|   | s}^^.\ ^** |            |            |        |            |
|   |            |            |            |        |            |
|   | -   **     |            |            |        |            |
|   | ^\ ^^Mark\ |            |            |        |            |
|   |  one\ box\ |            |            |        |            |
|   |  for\ each |            |            |        |            |
|   | \ item.^** |            |            |        |            |
|   |            |            |            |        |            |
|   | \          |            |            |        |            |
|   | ^          |            |            |        |            |
|   | Aspect\ of |            |            |        |            |
|   | \ Program^ |            |            |        |            |
+---+------------+------------+------------+--------+------------+
|   |            |            |            |        |            |
+---+------------+------------+------------+--------+------------+
|   | ^Ove       |            |            |        |            |
|   | rall\ advi |            |            |        |            |
|   | ce\ and\ g |            |            |        |            |
|   | uidance\ ^ |            |            |        |            |
+---+------------+------------+------------+--------+------------+
|   | ^Cur       |            |            |        |            |
|   | riculum\ ^ |            |            |        |            |
+---+------------+------------+------------+--------+------------+
|   | ^Instru    |            |            |        |            |
|   | ction\ \ ^ |            |            |        |            |
+---+------------+------------+------------+--------+------------+
|   | ^Trai      |            |            |        |            |
|   | ning\ in\  |            |            |        |            |
|   | research\  |            |            |        |            |
|   | methods\ ^ |            |            |        |            |
+---+------------+------------+------------+--------+------------+
|   | ^Resea     |            |            |        |            |
|   | rch\ exper |            |            |        |            |
|   | ience\ \ ^ |            |            |        |            |
+---+------------+------------+------------+--------+------------+
|   | ^          |            |            |        |            |
|   | Training\  |            |            |        |            |
|   | for\ TA\ p |            |            |        |            |
|   | osition\ ^ |            |            |        |            |
+---+------------+------------+------------+--------+------------+
|   | ^Suppor    |            |            |        |            |
|   | t\ from\ d |            |            |        |            |
|   | issertatio |            |            |        |            |
|   | n/thesis\  |            |            |        |            |
|   | adviser\ ^ |            |            |        |            |
+---+------------+------------+------------+--------+------------+
|   | ^          |            |            |        |            |
|   | Assistance |            |            |        |            |
|   | \ on\ job\ |            |            |        |            |
|   |  search\ ^ |            |            |        |            |
+---+------------+------------+------------+--------+------------+
|   | ^Environme |            |            |        |            |
|   | nt\ for\ m |            |            |        |            |
|   | inority\ s |            |            |        |            |
|   | tudents\ ^ |            |            |        |            |
+---+------------+------------+------------+--------+------------+
|   | ^Enviro    |            |            |        |            |
|   | nment\ for |            |            |        |            |
|   | \ women\ s |            |            |        |            |
|   | tudents\ ^ |            |            |        |            |
+---+------------+------------+------------+--------+------------+
|   | ^Pe        |            |            |        |            |
|   | rceived\ r |            |            |        |            |
|   | eputation\ |            |            |        |            |
|   |  of\ the\  |            |            |        |            |
|   | program\ ^ |            |            |        |            |
+---+------------+------------+------------+--------+------------+
|   |            |            |            |        |            |
+---+------------+------------+------------+--------+------------+
|   | ^Perce     |            |            |        |            |
|   | ived\ repu |            |            |        |            |
|   | tation\ of |            |            |        |            |
|   | \ the\ uni |            |            |        |            |
|   | versity\ ^ |            |            |        |            |
+---+------------+------------+------------+--------+------------+
|   |            |            |            |        |            |
+---+------------+------------+------------+--------+------------+

+---+-------------------------------+-------------------------------+
|   | -   **^1.8^^\ ^^W             | ^                             |
|   | hich\ of\ the\ following\ bes | Faculty\ did\ not\ counsel\ s |
|   | t\ describes\ your\ assessmen | tudents\ on\ career\ choice.^ |
|   | t\ of\ the\ career\ expectati |                               |
|   | ons\ of\ members\ of\ the\ fa |                               |
|   | culty\ in\ your\ department\  |                               |
|   | during\ your\ ^^[Reference\ P |                               |
|   | rogram]{.smallcaps}^^?^**^\ ^ |                               |
|   |                               |                               |
|   | -   ^\ ^**^Choose\ one.^**    |                               |
|   |                               |                               |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+
|   | ^q^                           | ^Facu                         |
|   |                               | lty\ encouraged\ both\ academ |
|   |                               | ic\ and\ non-academic\ jobs.^ |
+---+-------------------------------+-------------------------------+
|   | ^q^                           | ^Faculty\ mainly\ en          |
|   |                               | couraged\ graduate\ students\ |
|   |                               |  to\ pursue\ academic\ jobs.^ |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+
|   | ^q^                           | ^Faculty\ mainly\ enc         |
|   |                               | ouraged\ non-academic\ jobs.^ |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+

+---+---+------------------------------------------------------------+
|   |   | -   **^1.9^^\ ^^Did\ yo                                    |
|   |   | u\ receive\ support\ from\ your\ ^^[Reference\ Program]{.s |
|   |   | mallcaps}^^\ in\ each\ of\ the\ following\ areas?\ ^**^\ ^ |
|   |   |                                                            |
|   |   | -   ^\ ^**^Mark\ all\ that\ apply.^**                      |
|   |   |                                                            |
|   |   | ^Opportunities\ to\ learn\ about\ proposal\ writing^       |
+---+---+------------------------------------------------------------+
|   |   |                                                            |
+---+---+------------------------------------------------------------+
|   |   | ^Help\ in\ publishing\ my\ work^                           |
+---+---+------------------------------------------------------------+
|   |   | ^Opportunities\ to\ present\ my\ research^                 |
+---+---+------------------------------------------------------------+
|   |   |                                                            |
+---+---+------------------------------------------------------------+
|   |   | ^Funds\ to\ attend\ professional\ meetings^                |
+---+---+------------------------------------------------------------+
|   |   |                                                            |
+---+---+------------------------------------------------------------+

+---+---+------------------------------------------------------------+
|   |   | -   **^1.10^^\ ^^Did                                       |
|   |   | \ your\ graduate\ experience\ in\ your\ ^^[Reference\ Prog |
|   |   | ram]{.smallcaps}^^\ involve\ the\ activities\ listed?\ ^** |
|   |   |                                                            |
|   |   | -   **^\ ^^Mark\ all\ that\ apply.^**                      |
|   |   |                                                            |
|   |   |     -   ^1.\ ^                                             |
|   |   |                                                            |
|   |   | ^Worki                                                     |
|   |   | ng\ on\ a\ team\ with\ people\ other\ than\ your\ adviser^ |
+---+---+------------------------------------------------------------+
|   |   |                                                            |
+---+---+------------------------------------------------------------+
|   |   | -   ^2.\ ^                                                 |
|   |   |                                                            |
|   |   | ^Collaborating\ with\ another\ person^                     |
+---+---+------------------------------------------------------------+
|   |   | -   ^3.\ ^                                                 |
|   |   |                                                            |
|   |   | ^Undertaking\ interdisciplinary\ research^                 |
+---+---+------------------------------------------------------------+
|   |   | -   ^4.\ ^                                                 |
|   |   |                                                            |
|   |   | ^Learning\ organizational\ or\ managerial\ skills^         |
+---+---+------------------------------------------------------------+
|   |   |                                                            |
+---+---+------------------------------------------------------------+
|   |   | -   ^5.\ ^                                                 |
|   |   |                                                            |
|   |   | ^Opportunities\ to\ interact\ with\                        |
|   |   |  professionals\ in\ the\ field\ who\ were\ not\ academics^ |
+---+---+------------------------------------------------------------+
|   |   |                                                            |
+---+---+------------------------------------------------------------+

+---+---+------------------------------------------------------------+
|   |   | -   **^1.11^^\ ^^Which\ of\ the                            |
|   |   | \ following\ skills\ should\ be\ developed\ in\ graduate\  |
|   |   | school\ for\ your\ subsequent\ professional\ success?\ ^** |
|   |   |                                                            |
|   |   | -   **^\ ^^Mark\ all\ that\ apply.^**                      |
|   |   |                                                            |
|   |   |     -   ^1.\ ^                                             |
|   |   |                                                            |
|   |   | ^Worki                                                     |
|   |   | ng\ on\ a\ team\ with\ people\ other\ than\ your\ adviser^ |
+---+---+------------------------------------------------------------+
|   |   |                                                            |
+---+---+------------------------------------------------------------+
|   |   | -   ^2.\ ^                                                 |
|   |   |                                                            |
|   |   | ^Collaborating\ with\ another\ person^                     |
+---+---+------------------------------------------------------------+
|   |   | -   ^3.\ ^                                                 |
|   |   |                                                            |
|   |   | ^Undertaking\ interdisciplinary\ research^                 |
+---+---+------------------------------------------------------------+
|   |   |                                                            |
+---+---+------------------------------------------------------------+
|   |   | -   ^4.\ ^                                                 |
|   |   |                                                            |
|   |   | ^Learning\ organizational\ or\ managerial\ skills^         |
+---+---+------------------------------------------------------------+
|   |   |                                                            |
+---+---+------------------------------------------------------------+

+---+-------------------------------+-------------------------------+
|   | -   **^1.12^^\                | ^Not\                         |
|   |  ^^Knowing\ what\ you\ know\  |  pursue\ graduate\ education^ |
|   | now,\ if\ you\ were\ consider |                               |
|   | ing\ graduate\ education\ for |                               |
|   | \ the\ first\ time,\ what\ wo |                               |
|   | uld\ your\ decision\ be?\ ^** |                               |
|   |                               |                               |
|   | -   **^\ ^^Choose\ one.^**    |                               |
|   |                               |                               |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+
|   | ^q^                           | ^Pursue\ an\ academic\ master |
|   |                               | 's\ degree\ (MA,\ MS,\ etc.)^ |
+---+-------------------------------+-------------------------------+
|   | ^q^                           | ^Purs                         |
|   |                               | ue\ a\ professional\ master's |
|   |                               | \ degree\ (MBA,\ MSW,\ etc.)^ |
+---+-------------------------------+-------------------------------+
|   | ^q^                           | ^Pursue\                      |
|   |                               | a\ PhD\ in\ the\ same\ field^ |
+---+-------------------------------+-------------------------------+
|   | ^q^                           | ^Pursue\ a\                   |
|   |                               | PhD\ in\ a\ different\ field^ |
+---+-------------------------------+-------------------------------+
|   | ^q^                           | ^Purs                         |
|   |                               | ue\ a\ medical\ degree\ (MD)^ |
+---+-------------------------------+-------------------------------+
|   | ^q^                           | ^                             |
|   |                               | Pursue\ a\ law\ degree\ (JD)^ |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+
|   | ^q^                           | ^Pursue\ another\ ty          |
|   |                               | pe\ of\ professional\ degree^ |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+

-   **^Professional\ Accomplishments\ While\ in\ Graduate\ School^**

^Please\ include\ in\ this\ section\ activities\ that\ were\ accomplished\ while\ in\ graduate\ school\ (include\ all\ graduate\ programs\ in\ which\ you\ enrolled).\ ^

+-------------------------------+-------------------------------------+
|                               | -   **^1.13^^\                      |
|                               | ^^How\ many\ papers\ did\ you\ pres |
|                               | ent\ at\ professional\ meetings\ du |
|                               | ring\ your\ graduate\ education?^** |
|                               |                                     |
|                               | ^Number\ of\ Papers\ Presented^     |
+-------------------------------+-------------------------------------+
|                               |                                     |
+-------------------------------+-------------------------------------+
| ^Regional/National\ meetings^ |                                     |
+-------------------------------+-------------------------------------+
|                               |                                     |
+-------------------------------+-------------------------------------+
| ^International\ meetings^     |                                     |
+-------------------------------+-------------------------------------+
|                               |                                     |
+-------------------------------+-------------------------------------+

+----------------------+----------------------+----------------------+
|                      | -   **^1.14^^\ ^^Ho  | ^Other\              |
|                      | w\ many\ publication | Co-Author\ (Number)^ |
|                      | s\ did\ you\ produce |                      |
|                      | \ while\ in\ graduat |                      |
|                      | e\ school?\ Include\ |                      |
|                      |  publications\ that\ |                      |
|                      |  were\ in\ press.^** |                      |
|                      |                      |                      |
|                      | ^Primar              |                      |
|                      | y\ Author\ (Number)^ |                      |
+----------------------+----------------------+----------------------+
|                      |                      |                      |
+----------------------+----------------------+----------------------+
| ^Refereed\           |                      |                      |
| journal\ articles\ ^ |                      |                      |
+----------------------+----------------------+----------------------+
| ^Non-refe            |                      |                      |
| reed\ articles\ (i.e |                      |                      |
| .,\ newspaper\ and^\ |                      |                      |
| ^magazine\ articl    |                      |                      |
| es,\ book\ reviews)^ |                      |                      |
+----------------------+----------------------+----------------------+
| ^Book\ c             |                      |                      |
| hapter/edited\ book^ |                      |                      |
+----------------------+----------------------+----------------------+
|                      |                      |                      |
+----------------------+----------------------+----------------------+
| ^Book\ published^    |                      |                      |
+----------------------+----------------------+----------------------+
|                      |                      |                      |
+----------------------+----------------------+----------------------+

  --
  --

+-------+-------+-------+-------+-------+-------+-------+-------+---+
| -     | Years | Field | D     | D     | Year  |       |       |   |
|  **^1 | Att   | of    | egree | egree | Aw    |       |       |   |
| .15^^ | ended | S     | S     | E     | arded |       |       |   |
| \ ^^H |       | tudy\ | ought | arned |       |       |       |   |
| ow\ m |       | Codes |       |       |       |       |       |   |
| any\  |       | (page |       |       |       |       |       |   |
| paten |       | 2)    |       |       |       |       |       |   |
| ts\ w |       |       |       |       |       |       |       |   |
| ere\  |       |       |       |       |       |       |       |   |
| you\  |       |       |       |       |       |       |       |   |
| invol |       |       |       |       |       |       |       |   |
| ved\  |       |       |       |       |       |       |       |   |
| in\ a |       |       |       |       |       |       |       |   |
| pplyi |       |       |       |       |       |       |       |   |
| ng\ f |       |       |       |       |       |       |       |   |
| or\ w |       |       |       |       |       |       |       |   |
| hile\ |       |       |       |       |       |       |       |   |
|  in\  |       |       |       |       |       |       |       |   |
| gradu |       |       |       |       |       |       |       |   |
| ate\  |       |       |       |       |       |       |       |   |
| schoo |       |       |       |       |       |       |       |   |
| l?\ ( |       |       |       |       |       |       |       |   |
| Numbe |       |       |       |       |       |       |       |   |
| r)^** |       |       |       |       |       |       |       |   |
| ^\_\_ |       |       |       |       |       |       |       |   |
| \_\_\ |       |       |       |       |       |       |       |   |
| _\_\_ |       |       |       |       |       |       |       |   |
| \_\_^ |       |       |       |       |       |       |       |   |
|       |       |       |       |       |       |       |       |   |
| -     |       |       |       |       |       |       |       |   |
|  **^1 |       |       |       |       |       |       |       |   |
| .16^^ |       |       |       |       |       |       |       |   |
| \ ^^P |       |       |       |       |       |       |       |   |
| lease |       |       |       |       |       |       |       |   |
| \ lis |       |       |       |       |       |       |       |   |
| t\ aw |       |       |       |       |       |       |       |   |
| ards, |       |       |       |       |       |       |       |   |
| \ ser |       |       |       |       |       |       |       |   |
| vice, |       |       |       |       |       |       |       |   |
| \ and |       |       |       |       |       |       |       |   |
| \ oth |       |       |       |       |       |       |       |   |
| er\ p |       |       |       |       |       |       |       |   |
| rofes |       |       |       |       |       |       |       |   |
| siona |       |       |       |       |       |       |       |   |
| l\ ac |       |       |       |       |       |       |       |   |
| compl |       |       |       |       |       |       |       |   |
| ishme |       |       |       |       |       |       |       |   |
| nts\  |       |       |       |       |       |       |       |   |
| durin |       |       |       |       |       |       |       |   |
| g\ gr |       |       |       |       |       |       |       |   |
| aduat |       |       |       |       |       |       |       |   |
| e\ sc |       |       |       |       |       |       |       |   |
| hool. |       |       |       |       |       |       |       |   |
| \ ^** |       |       |       |       |       |       |       |   |
|       |       |       |       |       |       |       |       |   |
| -     |       |       |       |       |       |       |       |   |
|    ** |       |       |       |       |       |       |       |   |
| ^Unde |       |       |       |       |       |       |       |   |
| rgrad |       |       |       |       |       |       |       |   |
| uate\ |       |       |       |       |       |       |       |   |
|  and\ |       |       |       |       |       |       |       |   |
|  Grad |       |       |       |       |       |       |       |   |
| uate\ |       |       |       |       |       |       |       |   |
|  Educ |       |       |       |       |       |       |       |   |
| ation |       |       |       |       |       |       |       |   |
| \ Bac |       |       |       |       |       |       |       |   |
| kgrou |       |       |       |       |       |       |       |   |
| nd^** |       |       |       |       |       |       |       |   |
|       |       |       |       |       |       |       |       |   |
| -     |       |       |       |       |       |       |       |   |
| **^In |       |       |       |       |       |       |       |   |
| \ the |       |       |       |       |       |       |       |   |
| \ tab |       |       |       |       |       |       |       |   |
| le\ b |       |       |       |       |       |       |       |   |
| elow\ |       |       |       |       |       |       |       |   |
|  plea |       |       |       |       |       |       |       |   |
| se\ p |       |       |       |       |       |       |       |   |
| rovid |       |       |       |       |       |       |       |   |
| e\ in |       |       |       |       |       |       |       |   |
| forma |       |       |       |       |       |       |       |   |
| tion\ |       |       |       |       |       |       |       |   |
|  on\  |       |       |       |       |       |       |       |   |
| your\ |       |       |       |       |       |       |       |   |
|  post |       |       |       |       |       |       |       |   |
| secon |       |       |       |       |       |       |       |   |
| dary\ |       |       |       |       |       |       |       |   |
|  educ |       |       |       |       |       |       |       |   |
| ation |       |       |       |       |       |       |       |   |
| \ inc |       |       |       |       |       |       |       |   |
| ludin |       |       |       |       |       |       |       |   |
| g\ al |       |       |       |       |       |       |       |   |
| l\ co |       |       |       |       |       |       |       |   |
| llege |       |       |       |       |       |       |       |   |
| s\ an |       |       |       |       |       |       |       |   |
| d\ un |       |       |       |       |       |       |       |   |
| ivers |       |       |       |       |       |       |       |   |
| ities |       |       |       |       |       |       |       |   |
| \ att |       |       |       |       |       |       |       |   |
| ended |       |       |       |       |       |       |       |   |
| \ and |       |       |       |       |       |       |       |   |
| \ deg |       |       |       |       |       |       |       |   |
| rees\ |       |       |       |       |       |       |       |   |
|  rece |       |       |       |       |       |       |       |   |
| ived\ |       |       |       |       |       |       |       |   |
|  (if\ |       |       |       |       |       |       |       |   |
|  any) |       |       |       |       |       |       |       |   |
| \ as\ |       |       |       |       |       |       |       |   |
|  indi |       |       |       |       |       |       |       |   |
| cated |       |       |       |       |       |       |       |   |
| \ in\ |       |       |       |       |       |       |       |   |
|  the\ |       |       |       |       |       |       |       |   |
|  exam |       |       |       |       |       |       |       |   |
| ple.\ |       |       |       |       |       |       |       |   |
|  Star |       |       |       |       |       |       |       |   |
| t\ wi |       |       |       |       |       |       |       |   |
| th\ m |       |       |       |       |       |       |       |   |
| ost\  |       |       |       |       |       |       |       |   |
| recen |       |       |       |       |       |       |       |   |
| t\ gr |       |       |       |       |       |       |       |   |
| aduat |       |       |       |       |       |       |       |   |
| e\ or |       |       |       |       |       |       |       |   |
| \ pro |       |       |       |       |       |       |       |   |
| fessi |       |       |       |       |       |       |       |   |
| onal\ |       |       |       |       |       |       |       |   |
|  prog |       |       |       |       |       |       |       |   |
| ram\  |       |       |       |       |       |       |       |   |
| atten |       |       |       |       |       |       |       |   |
| ded\  |       |       |       |       |       |       |       |   |
| and\  |       |       |       |       |       |       |       |   |
| inclu |       |       |       |       |       |       |       |   |
| de\ y |       |       |       |       |       |       |       |   |
| our\  |       |       |       |       |       |       |       |   |
| under |       |       |       |       |       |       |       |   |
| gradu |       |       |       |       |       |       |       |   |
| ate\  |       |       |       |       |       |       |       |   |
| degre |       |       |       |       |       |       |       |   |
| e.\ I |       |       |       |       |       |       |       |   |
| nclud |       |       |       |       |       |       |       |   |
| e\ gr |       |       |       |       |       |       |       |   |
| aduat |       |       |       |       |       |       |       |   |
| e\ an |       |       |       |       |       |       |       |   |
| d\ pr |       |       |       |       |       |       |       |   |
| ofess |       |       |       |       |       |       |       |   |
| ional |       |       |       |       |       |       |       |   |
| \ pro |       |       |       |       |       |       |       |   |
| grams |       |       |       |       |       |       |       |   |
| \ you |       |       |       |       |       |       |       |   |
| \ did |       |       |       |       |       |       |       |   |
| \ not |       |       |       |       |       |       |       |   |
| \ com |       |       |       |       |       |       |       |   |
| plete |       |       |       |       |       |       |       |   |
| .\ Us |       |       |       |       |       |       |       |   |
| e\ th |       |       |       |       |       |       |       |   |
| e\ co |       |       |       |       |       |       |       |   |
| des\  |       |       |       |       |       |       |       |   |
| for\  |       |       |       |       |       |       |       |   |
| the\  |       |       |       |       |       |       |       |   |
| field |       |       |       |       |       |       |       |   |
| \ of\ |       |       |       |       |       |       |       |   |
|  stud |       |       |       |       |       |       |       |   |
| y\ pr |       |       |       |       |       |       |       |   |
| ovide |       |       |       |       |       |       |       |   |
| d\ on |       |       |       |       |       |       |       |   |
| \ pag |       |       |       |       |       |       |       |   |
| e\ 2. |       |       |       |       |       |       |       |   |
| \ ^** |       |       |       |       |       |       |       |   |
|       |       |       |       |       |       |       |       |   |
| -     |       |       |       |       |       |       |       |   |
|   **^ |       |       |       |       |       |       |       |   |
| Examp |       |       |       |       |       |       |       |   |
| le^** |       |       |       |       |       |       |       |   |
|       |       |       |       |       |       |       |       |   |
| I     |       |       |       |       |       |       |       |   |
| nstit |       |       |       |       |       |       |       |   |
| ution |       |       |       |       |       |       |       |   |
| and   |       |       |       |       |       |       |       |   |
| Loc   |       |       |       |       |       |       |       |   |
| ation |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
| ^In   |       |       | ^     | ^To^  | ^Nu   | ^     | ^     |   |
| stitu |       |       | From^ |       | mber^ | Type^ | Type^ |   |
| tion^ |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
| *^Uni | *^1   | *^1   | *     | *^    | *^    | *^1   |       |   |
| versi | 990^* | 996^* | ^01^* | PhD^* | PhD^* | 996^* |       |   |
| ty\ o |       |       |       |       |       |       |       |   |
| f\ Ca |       |       |       |       |       |       |       |   |
| lifor |       |       |       |       |       |       |       |   |
| nia^* |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
| ^Br   | ^     | ^     |       |       |       |       |       |   |
| anch\ | State | Count |       |       |       |       |       |   |
|  or\  | \ or\ | ry\ ( |       |       |       |       |       |   |
| City^ |  Prov | if\ n |       |       |       |       |       |   |
|       | ince^ | ot\ U |       |       |       |       |       |   |
|       |       | .S.)^ |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
| *^    | *     |       |       |       |       |       |       |   |
| Berke | ^CA^* |       |       |       |       |       |       |   |
| ley^* |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
| ^In   | ^Y    | ^Fie  | ^     | ^     | ^Year |       |       |   |
| stitu | ears\ | ld\ o | Degre | Degre | \ Awa |       |       |   |
| tion\ |  Atte | f\ St | e\ So | e\ Ea | rded^ |       |       |   |
|  and\ | nded^ | udy^\ | ught^ | rned^ |       |       |       |   |
|  Loca |       | ^Co   |       |       |       |       |       |   |
| tion^ |       | des\  |       |       |       |       |       |   |
|       |       | (page |       |       |       |       |       |   |
|       |       | \ 2)^ |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
| ^In   |       |       | ^     | ^To^  | ^Nu   | ^     | ^     |   |
| stitu |       |       | From^ |       | mber^ | Type^ | Type^ |   |
| tion^ |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
| ^Br   | ^     | ^     |       |       |       |       |       |   |
| anch\ | State | Count |       |       |       |       |       |   |
|  or\  | \ or\ | ry\ ( |       |       |       |       |       |   |
| City^ |  Prov | if\ n |       |       |       |       |       |   |
|       | ince^ | ot\ U |       |       |       |       |       |   |
|       |       | .S.)^ |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
| ^In   |       |       | ^     | ^To^  | ^Nu   | ^     | ^     |   |
| stitu |       |       | From^ |       | mber^ | Type^ | Type^ |   |
| tion^ |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
| ^Br   | ^     | ^     |       |       |       |       |       |   |
| anch\ | State | Count |       |       |       |       |       |   |
|  or\  | \ or\ | ry\ ( |       |       |       |       |       |   |
| City^ |  Prov | if\ n |       |       |       |       |       |   |
|       | ince^ | ot\ U |       |       |       |       |       |   |
|       |       | .S.)^ |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
| ^In   |       |       | ^     | ^To^  | ^Nu   | ^     | ^     |   |
| stitu |       |       | From^ |       | mber^ | Type^ | Type^ |   |
| tion^ |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
| ^Br   | ^     | ^     |       |       |       |       |       |   |
| anch\ | State | Count |       |       |       |       |       |   |
|  or\  | \ or\ | ry\ ( |       |       |       |       |       |   |
| City^ |  Prov | if\ n |       |       |       |       |       |   |
|       | ince^ | ot\ U |       |       |       |       |       |   |
|       |       | .S.)^ |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
| ^In   |       |       | ^     | ^To^  | ^Nu   | ^     | ^     |   |
| stitu |       |       | From^ |       | mber^ | Type^ | Type^ |   |
| tion^ |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
| ^Br   | ^     | ^     |       |       |       |       |       |   |
| anch\ | State | Count |       |       |       |       |       |   |
|  or\  | \ or\ | ry\ ( |       |       |       |       |       |   |
| City^ |  Prov | if\ n |       |       |       |       |       |   |
|       | ince^ | ot\ U |       |       |       |       |       |   |
|       |       | .S.)^ |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
| ^In   |       |       | ^     | ^To^  | ^Nu   | ^     | ^     |   |
| stitu |       |       | From^ |       | mber^ | Type^ | Type^ |   |
| tion^ |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
| ^Br   | ^     | ^     |       |       |       |       |       |   |
| anch\ | State | Count |       |       |       |       |       |   |
|  or\  | \ or\ | ry\ ( |       |       |       |       |       |   |
| City^ |  Prov | if\ n |       |       |       |       |       |   |
|       | ince^ | ot\ U |       |       |       |       |       |   |
|       |       | .S.)^ |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+
|       |       |       |       |       |       |       |       |   |
+-------+-------+-------+-------+-------+-------+-------+-------+---+

+----------------------------------+----------------------------------+
| -   **^1.18^^\ ^^Ha              | ^Yes\ \                          |
| s\ graduate\ or\ professional\ s |  \ Go\ to\ Section\ 3\ page\ 14^ |
| tudy\ been\ your\ primary\ activ |                                  |
| ity\ since\ you\ entered\ ^^[Gra |                                  |
| duate\ School]{.smallcaps}^^?^** |                                  |
|                                  |                                  |
| ^q^                              |                                  |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+
| ^q^                              | ^N                               |
|                                  | o\ \ \ Continue\ to\ Section\ 2^ |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+

-   **^Section\ 2:\ Career\ Activities^^\ ^**

We are interested in your professional employment history (including
postdoctoral positions) since graduate school. Please start by telling
us your job(s) on January 10, 1999, and then provide employment
information for prior years when graduate school was not your primary
activity. If you held multiple positions at one time, use a separate
line for each position. If there are periods when you were not in the
workforce, please show this on a separate line and enter a reason from
List A. If you held the same position for several years, you can show
this my checking the \"no change\" box.

+----------------+----------------+----------------+----------------+
| **EMPLOYMENT   | *              | **^TYPE\ OF\   | *              |
| STATUS **\     | *^TYPE\ OF\ OR | POSITION\ ^**\ | *^PRIMARY\ RES |
| **(LIST A)**   | GANIZATION^**\ | *              | PONSIBILITIES\ |
|                | *              | *^(LIST\ C)^** |  UNDERTAKEN/SU |
|                | *^(LIST\ B)^** |                | PERVISED\ ^**\ |
|                |                |                | *              |
|                |                |                | *^(LIST\ D)^** |
|                |                |                |                |
|                |                |                | **^(LIST\ NO\  |
|                |                |                | MORE\ THAN\ 2\ |
|                |                |                |  CODES\ IN\ TH |
|                |                |                | E\ ORDER\ OF\  |
|                |                |                | IMPORTANCE)^** |
+----------------+----------------+----------------+----------------+
|                |                |                |                |
+----------------+----------------+----------------+----------------+
| 1.             | 1.  **         | 1.  ^Small\ bu | 1.  **^[Hig    |
| **^Employed^** | ^Further\ educ | siness\ /indus | her\ Education |
|                | ation^**^\ (ex | try\ (\<\ 25)^ | \ Sector]{.und |
| 2.  **^Not\ in | clude\ postdoc |                | erline}^**^\ ^ |
| \ workforce^** | toral\ study)^ | 2.             |                |
|                |                |   ^Other\ busi | 2              |
|     a.  ^Medic | 2.             | ness/industry^ | .  ^Postdoctor |
| al\ condition^ |  **^Retired^** |                | al\ fellow\ (i |
|                |                | 3.  ^          | ncludes\ tempo |
|                |                | Self-employed^ | rary\ academic |
|    b.  ^Seekin |                |                | \ appointment\ |
| g\ employment^ |                | 4.  ^Sta       |  with\ reduced |
|                |                | te/local\ gove | /no\ teaching\ |
|     c.  ^Vol   |                | rnment/agency^ |  requirement)^ |
| untarily\ out\ |                |                |                |
|  of\ workforce |                | 5.             | 3.             |
| ,\ not\ seekin |                | ^Federal\ gove |  ^Non-tenure-t |
| g\ employment^ |                | rnment/agency^ | rack\ faculty^ |
|                |                |                |                |
|                |                | 6.  ^Nationa   | 4.  ^Tenure-t  |
|                |                | l\ laboratory^ | rack\ faculty^ |
|                |                |                |                |
|                |                | 7.  ^          | 5.  ^Ten       |
|                |                | International\ | ured\ faculty^ |
|                |                |  organization^ |                |
|                |                |                | 6.             |
|                |                | 8.  ^Othe      | ^Researcher\ ( |
|                |                | r\ non-profit\ | not\ faculty)^ |
|                |                |  organization^ |                |
|                |                |                | 7              |
|                |                | 9.  ^Univ      | .  ^Administra |
|                |                | ersity\ that\  | tor/manager\ ( |
|                |                | grants\ Ph.D.^ | not\ faculty)^ |
|                |                |                |                |
|                |                | 10. ^Colle     | 8.  ^Cle       |
|                |                | ge\ or\ univer | rical/support^ |
|                |                | sity\ that\ do |                |
|                |                | es\ not\ indep | 9.  ^Other^    |
|                |                | endently\ gran |                |
|                |                | t\ the\ Ph.D.^ | 10. **^        |
|                |                |                | [Business,\ no |
|                |                | 1              | n-profit,\ gov |
|                |                | 1. ^2-yr/commu | ernment,\ scho |
|                |                | nity\ college^ | ols\ sectors]{ |
|                |                |                | .underline}^** |
|                |                | 12. ^Elemen    |                |
|                |                | tary\ or\ seco | 11. ^          |
|                |                | ndary\ school^ | Owner/partner^ |
|                |                |                |                |
|                |                | 13. ^Me        | 12. ^Administ  |
|                |                | dical\ school^ | rator/manager^ |
|                |                |                |                |
|                |                | 14. ^Ho        | 13.            |
|                |                | spital/clinic^ | ^Professional^ |
|                |                |                |                |
|                |                | 15. ^Military^ | 14. ^Cle       |
|                |                |                | rical/support^ |
|                |                | 16. ^Other\ ^  |                |
|                |                |                | 15             |
|                |                |                | . ^Consultant^ |
|                |                |                |                |
|                |                |                | 16. ^Other^    |
+----------------+----------------+----------------+----------------+
|                |                |                |                |
+----------------+----------------+----------------+----------------+

1.  ^Research\ and\ development^

2.  ^Teaching/training^

3.  ^Student\ services^

4.  ^Human\ resources\ services^

5.  ^Information\ technology\ services^

6.  ^Legal\ services^

7.  ^Clinical/medical\ services^

8.  ^Manufacturing/engineering-related\ services^

9.  ^Public\ relations^

10. ^Writing/editing^

11. ^Marketing/sales^

12. ^Finance^

13. ^Planning/budgeting^

14. ^Administration/management,\ general/other^

15. ^Other^

***^AN\ EXAMPLE:\ ^*^This\ person\ held\ a\ full-time\ faculty\ position\ as\ of\ January\ 10,\ 1999.\ In\ 1998\ she\ held\ a\ part-time\ teaching\ position\ for\ part\ of\ the\ year,\ and\ was\ unemployed\ while\ looking\ for\ a\ job\ for\ part\ of\ the\ year.\ She\ graduated\ from\ her\ program\ at\ the\ end\ of\ 1997,\ and\ until\ then\ graduate\ study\ had\ been\ her\ primary\ activity\ since\ first\ entering\ graduate\ school.^**

+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| **^Ye | *     | *     | **^S  | *     | **^E  | **^   | **^T  | **^P  |
| ar^** | *^Nam | *^Nam | tate\ | *^Ful | mploy | Type\ | ype\  | rimar |
|       | e\ of | e\ of |  or\  | l-tim | ment\ |  of\  | of\ P | y\ Re |
|       | \ Org | \ Dep | Count | e/^** |  Stat | Organ | ositi | spons |
|       | aniza | artme | ry^** |       | us^** | izati | on^** | ibili |
|       | tion\ | nt^** |       | **^Pa |       | on^** |       | ty^** |
|       |  and\ |       | ^     | rt-ti | ^U    |       | ^U    |       |
|       |  bran | ^(w   | Use\  | me^** | se\ c | \     | se\ c | ^U    |
|       | ch,\  | rite\ | state |       | ode\  | ^U    | ode\  | se\ C |
|       | if\ a |  in)^ | \ abb | ^F    | list\ | se\ c | list\ | ode\  |
|       | ny^** |       | revia | T/PT^ |  (A)^ | ode\  |  (C)^ | list\ |
|       |       |       | tion^ |       |       | list\ |       |  (D)^ |
|       | ^(w   |       |       |       |       |  (B)^ |       |       |
|       | rite\ |       | ^Writ |       |       |       |       |       |
|       |  in)^ |       | e\ in |       |       |       |       |       |
|       |       |       | \ nam |       |       |       |       |       |
|       |       |       | e\ of |       |       |       |       |       |
|       |       |       | \ cou |       |       |       |       |       |
|       |       |       | ntry^ |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| **^19 | *     | *^E   | *     | *     | *^1^* | *^9^* | *^3^* | *^    |
| 99^** | ^Mich | conom | ^MI^* | ^FT^* |       |       |       | 2/1^* |
|       | igan\ | ics^* |       |       |       |       |       |       |
| ^Jo   |  St.\ |       |       |       |       |       |       |       |
| b\ 1^ |  U.^* |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| **^19 |       |       | *     |       | *     |       |       |       |
| 98^** |       |       | ^CA^* |       | ^2b^* |       |       |       |
|       |       |       |       |       |       |       |       |       |
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 1^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   | *     | *^E   | *     | *     | *^1^* | *     | *^2^* | *^2^* |
| b\ 2^ | ^CSU\ | conom | ^CA^* | ^PT^* |       | ^10^* |       |       |
|       |  Los\ | ics^* |       |       |       |       |       |       |
|       |  Ange |       |       |       |       |       |       |       |
|       | les^* |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| **^Ye | *     | *     | **^S  | *     | **^E  | **^T  | **^T  | **^P  |
| ar^** | *^Nam | *^Nam | tate\ | *^Ful | mploy | ype\  | ype\  | rimar |
|       | e\ of | e\ of |  or\  | l-tim | ment\ | of\ O | of\ P | y\ Re |
|       | \ Org | \ Dep | Count | e/^** |  Stat | rgani | ositi | spons |
|       | aniza | artme | ry^** |       | us^** | zatio | on^** | ibili |
|       | tion\ | nt^** |       | **^Pa |       | n^**\ |       | ty^** |
|       |  and\ |       | ^     | rt-ti | ^U    | ^U    | ^U    |       |
|       |  bran | ^(w   | Use\  | me^** | se\ c | se\ c | se\ c | ^U    |
|       | ch,\  | rite\ | state |       | ode\  | ode\  | ode\  | se\ C |
|       | if\ a |  in)^ | \ abb | ^F    | list\ | list\ | list\ | ode\  |
|       | ny^** |       | revia | T/PT^ |  (A)^ |  (B)^ |  (C)^ | list\ |
|       |       |       | tion^ |       |       |       |       |  (D)^ |
|       | ^(w   |       |       |       |       |       |       |       |
|       | rite\ |       | ^Writ |       |       |       |       |       |
|       |  in)^ |       | e\ in |       |       |       |       |       |
|       |       |       | \ nam |       |       |       |       |       |
|       |       |       | e\ of |       |       |       |       |       |
|       |       |       | \ cou |       |       |       |       |       |
|       |       |       | ntry^ |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| **^J  |       |       |       |       |       |       |       |       |
| an\ 1 |       |       |       |       |       |       |       |       |
| 0^**\ |       |       |       |       |       |       |       |       |
| *     |       |       |       |       |       |       |       |       |
| *^199 |       |       |       |       |       |       |       |       |
| 9^**\ |       |       |       |       |       |       |       |       |
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 1^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 2^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 3^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| *     | ^q\ N |       |       |       |       |       |       |       |
| *^199 | o\ ch |       |       |       |       |       |       |       |
| 8^**\ | ange^ |       |       |       |       |       |       |       |
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 1^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 2^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 3^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| *     | ^q\ N |       |       |       |       |       |       |       |
| *^199 | o\ ch |       |       |       |       |       |       |       |
| 7^**\ | ange^ |       |       |       |       |       |       |       |
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 1^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 2^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 3^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| *     | ^q\ N |       |       |       |       |       |       |       |
| *^199 | o\ ch |       |       |       |       |       |       |       |
| 6^**\ | ange^ |       |       |       |       |       |       |       |
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 1^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 2^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 3^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| *     | ^q\ N |       |       |       |       |       |       |       |
| *^199 | o\ ch |       |       |       |       |       |       |       |
| 5^**\ | ange^ |       |       |       |       |       |       |       |
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 1^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 2^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 3^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| *     | ^q\ N |       |       |       |       |       |       |       |
| *^199 | o\ ch |       |       |       |       |       |       |       |
| 4^**\ | ange^ |       |       |       |       |       |       |       |
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 1^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 2^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 3^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| *     | ^q\ N |       |       |       |       |       |       |       |
| *^199 | o\ ch |       |       |       |       |       |       |       |
| 3^**\ | ange^ |       |       |       |       |       |       |       |
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 1^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 2^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 3^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| *     | ^q\ N |       |       |       |       |       |       |       |
| *^199 | o\ ch |       |       |       |       |       |       |       |
| 2^**\ | ange^ |       |       |       |       |       |       |       |
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 1^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 2^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 3^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| *     | ^q\ N |       |       |       |       |       |       |       |
| *^199 | o\ ch |       |       |       |       |       |       |       |
| 1^**\ | ange^ |       |       |       |       |       |       |       |
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 1^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 2^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 3^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| *     | ^q\ N |       |       |       |       |       |       |       |
| *^199 | o\ ch |       |       |       |       |       |       |       |
| 0^**\ | ange^ |       |       |       |       |       |       |       |
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 1^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 2^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 3^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| *     | ^q\ N |       |       |       |       |       |       |       |
| *^198 | o\ ch |       |       |       |       |       |       |       |
| 9^**\ | ange^ |       |       |       |       |       |       |       |
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 1^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 2^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
| ^Jo   |       |       |       |       |       |       |       |       |
| b\ 3^ |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+
|       |       |       |       |       |       |       |       |       |
+-------+-------+-------+-------+-------+-------+-------+-------+-------+

-   **^Professional\ Accomplishments\ Since\ Graduate\ School^**

^Please\ include\ in\ this\ section\ activities\ that\ were\ [completed]{.underline}\ after\ graduate\ school.\ Do\ not\ include\ activities\ that\ you\ already\ reported\ earlier\ as\ graduate\ school\ accomplishments.^

+------------------------------+------------------------------+------+
| -   **^2.2^^\ ^^Wh           | ^Did                         |      |
| at\ postdoctoral\ fellowship | \ you\ accept\ this\ award?^ |      |
| s\ have\ you\ been\ awarded? |                              |      |
| \ If\ you\ did\ not\ receive |                              |      |
| \ a\ postdoctoral\ fellowshi |                              |      |
| p,\ mark\ here\ ^^\ and\ go\ |                              |      |
|  to\ the\ next\ question.^** |                              |      |
|                              |                              |      |
| ^Name\ of\ Postdo            |                              |      |
| ctoral\ Fellowship\ Awarded^ |                              |      |
+------------------------------+------------------------------+------+
|                              |                              |      |
+------------------------------+------------------------------+------+
|                              | ^Yes^                        | ^No^ |
+------------------------------+------------------------------+------+
|                              |                              |      |
+------------------------------+------------------------------+------+
|                              |                              |      |
+------------------------------+------------------------------+------+
|                              |                              |      |
+------------------------------+------------------------------+------+
|                              |                              |      |
+------------------------------+------------------------------+------+
|                              |                              |      |
+------------------------------+------------------------------+------+
|                              |                              |      |
+------------------------------+------------------------------+------+
|                              |                              |      |
+------------------------------+------------------------------+------+
|                              |                              |      |
+------------------------------+------------------------------+------+

-   ^1.\ ^

-   ^2.\ ^

-   ^3.\ ^

-   ^4.\ ^

+---------------------------+-----------------------------------------+
|                           | -   **                                  |
|                           | ^2.3^^\ ^^How\ many\ papers\ have\ you\ |
|                           |  presented\ since\ graduate\ school?^** |
|                           |                                         |
|                           | ^Number\ of\ Papers\ Presented^         |
+---------------------------+-----------------------------------------+
|                           |                                         |
+---------------------------+-----------------------------------------+
| ^National\ meetings^      |                                         |
+---------------------------+-----------------------------------------+
|                           |                                         |
+---------------------------+-----------------------------------------+
| ^International\ meetings^ |                                         |
+---------------------------+-----------------------------------------+
|                           |                                         |
+---------------------------+-----------------------------------------+

+----------------------+----------------------+----------------------+
|                      | -   **               | ^Other\              |
|                      | ^2.4^^\ ^^How\ many\ | Co-Author\ (Number)^ |
|                      |  of\ the\ following\ |                      |
|                      |  publications\ have\ |                      |
|                      |  you\ produced\ sinc |                      |
|                      | e\ graduate\ school? |                      |
|                      | \ (Include\ publicat |                      |
|                      | ions\ in\ press.)^** |                      |
|                      |                      |                      |
|                      | ^Primar              |                      |
|                      | y\ Author\ (Number)^ |                      |
+----------------------+----------------------+----------------------+
|                      |                      |                      |
+----------------------+----------------------+----------------------+
| ^Refereed\           |                      |                      |
| journal\ articles\ ^ |                      |                      |
+----------------------+----------------------+----------------------+
| ^Non-refe            |                      |                      |
| reed\ articles\ (i.e |                      |                      |
| .,\ newspaper\ and^\ |                      |                      |
| ^magazine\ articl    |                      |                      |
| es,\ book\ reviews)^ |                      |                      |
+----------------------+----------------------+----------------------+
| ^Book\ cha           |                      |                      |
| pters/edited\ books^ |                      |                      |
+----------------------+----------------------+----------------------+
|                      |                      |                      |
+----------------------+----------------------+----------------------+
| ^Books\ published^   |                      |                      |
+----------------------+----------------------+----------------------+
|                      |                      |                      |
+----------------------+----------------------+----------------------+

+----------------------+----------------------+----------------------+
| -   **^2.5^^\ ^^How  | ^Number\ of\ ^\      | ^Total\ Amount\ ^\   |
| \ many\ patents\ hav | ^Gr                  | ^(I                  |
| e\ you\ been\ involv | ants\ or\ Contracts^ | ncluding\ Overhead)^ |
| ed\ in\ applying\ fo |                      |                      |
| r\ since\ graduate\  |                      |                      |
| school?\ (Number)^** |                      |                      |
| ^\_\_\_\_\_\_\_\_\_^ |                      |                      |
|                      |                      |                      |
| -   **^2.6^^\ ^^W    |                      |                      |
| hat\ grants/contract |                      |                      |
| s\ have\ you\ been\  |                      |                      |
| awarded\ as\ Princip |                      |                      |
| al\ Investigator?\ I |                      |                      |
| f\ you\ have\ not\ r |                      |                      |
| eceived\ a\ grant\ a |                      |                      |
| s\ PI,\ mark\ here\  |                      |                      |
| ^^\ and\ go\ to\ the |                      |                      |
| \ next\ question.^** |                      |                      |
|                      |                      |                      |
| ^Type\ of\ Agency^   |                      |                      |
+----------------------+----------------------+----------------------+
|                      |                      |                      |
+----------------------+----------------------+----------------------+
| ^                    |                      |                      |
| Federal\ government^ |                      |                      |
+----------------------+----------------------+----------------------+
|                      |                      |                      |
+----------------------+----------------------+----------------------+
| ^State\ government^  |                      |                      |
+----------------------+----------------------+----------------------+
|                      |                      |                      |
+----------------------+----------------------+----------------------+
| ^Local\ government^  |                      |                      |
+----------------------+----------------------+----------------------+
|                      |                      |                      |
+----------------------+----------------------+----------------------+
| ^Foundation^         |                      |                      |
+----------------------+----------------------+----------------------+
| ^Business/industry^  |                      |                      |
+----------------------+----------------------+----------------------+
|                      |                      |                      |
+----------------------+----------------------+----------------------+
| ^Empl                |                      |                      |
| oying\ organization^ |                      |                      |
+----------------------+----------------------+----------------------+
|                      |                      |                      |
+----------------------+----------------------+----------------------+

+---+-------------+-------------+---+-------------+-------------+
|   | -   **^2    | ^Taught\    |   | -   ^11.\ ^ | ^Participa  |
|   | .7^^\ ^^Wha | course(s)\  |   |             | ted\ in\ cu |
|   | t\ teaching | in\ K-12\ ^ |   | ^q^         | rriculum\ d |
|   | \ activitie |             |   |             | evelopment^ |
|   | s\ have\ yo |             |   |             |             |
|   | u\ undertak |             |   |             |             |
|   | en\ since\  |             |   |             |             |
|   | graduate\ s |             |   |             |             |
|   | chool?\ ^** |             |   |             |             |
|   |             |             |   |             |             |
|   | -           |             |   |             |             |
|   | **^\ ^^Mark |             |   |             |             |
|   | \ all\ that |             |   |             |             |
|   | \ apply.^** |             |   |             |             |
|   |             |             |   |             |             |
|   |             |             |   |             |             |
|   |  -   ^1.\ ^ |             |   |             |             |
|   |             |             |   |             |             |
|   | ^q^         |             |   |             |             |
+---+-------------+-------------+---+-------------+-------------+
|   |             |             |   |             |             |
+---+-------------+-------------+---+-------------+-------------+
|   | -   ^2.\ ^  | ^           |   | -   ^12.\ ^ | ^Mentor     |
|   |             | Taught\ und |   |             | ed/tutored\ |
|   | ^q^         | ergraduate\ |   | ^q^         |  elementary |
|   |             |  course(s)^ |   |             | \ students^ |
+---+-------------+-------------+---+-------------+-------------+
|   | -   ^3.\ ^  | ^Taught     |   | -   ^13.\ ^ | ^Ment       |
|   |             | \ graduate\ |   |             | ored/tutore |
|   | ^q^         |  course(s)^ |   | ^q^         | d\ junior/s |
|   |             |             |   |             | enior\ high |
|   |             |             |   |             | \ students^ |
+---+-------------+-------------+---+-------------+-------------+
|   | -   ^4.\ ^  | ^Deve       |   | -   ^14.\ ^ | ^Men        |
|   |             | loped\ new\ |   |             | tored\ unde |
|   | ^q^         |  course(s)^ |   | ^q^         | rgraduates^ |
+---+-------------+-------------+---+-------------+-------------+
|   | -   ^5.\ ^  | ^Taug       |   | -   ^15.\ ^ | ^Mentore    |
|   |             | ht\ interdi |   |             | d\ graduate |
|   | ^q^         | sciplinary\ |   | ^q^         | \ students^ |
|   |             |  course(s)^ |   |             |             |
+---+-------------+-------------+---+-------------+-------------+
|   | -   ^6.\ ^  | ^Te         |   | -   ^16.\ ^ | ^Member\    |
|   |             | am\ taught\ |   |             |  of\ master |
|   | ^q^         |  course(s)^ |   | ^q^         | 's\ thesis\ |
|   |             |             |   |             |  committee^ |
+---+-------------+-------------+---+-------------+-------------+
|   | -   ^7.\ ^  | ^Taught     |   | -   ^17.\ ^ | ^Chair\     |
|   |             | \ distance\ |   |             |  of\ master |
|   | ^q^         |  education\ |   | ^q^         | 's\ thesis\ |
|   |             |  course(s), |   |             |  committee^ |
|   |             | \ including |   |             |             |
|   |             | \ Internet^ |   |             |             |
+---+-------------+-------------+---+-------------+-------------+
|   | -   ^8.\ ^  | ^Taught     |   | -   ^18.\ ^ | ^Mem        |
|   |             | \ course(s) |   |             | ber\ of\ di |
|   | ^q^         | \ on-site\  |   | ^q^         | ssertation\ |
|   |             | in\ busines |   |             |  committee^ |
|   |             | s/industry^ |   |             |             |
+---+-------------+-------------+---+-------------+-------------+
|   | -   ^9.\ ^  | ^Taught\    |   | -   ^19.\ ^ | ^Ch         |
|   |             |  course(s)\ |   |             | air\ of\ di |
|   | ^q^         |  on-site\ i |   | ^q^         | ssertation\ |
|   |             | n\ other\ n |   |             |  committee^ |
|   |             | on-academic |   |             |             |
|   |             | \ settings^ |   |             |             |
+---+-------------+-------------+---+-------------+-------------+
|   |             |             |   |             |             |
+---+-------------+-------------+---+-------------+-------------+
|   | -   ^10.\ ^ | ^U          |   | -   ^20.\ ^ | ^Other\ (pl |
|   |             | sed\ comput |   |             | ease\ speci |
|   | ^q^         | ers\ for\ i |   | ^q^         | fy)\_\_\_\_ |
|   |             | nstruction^ |   |             | \_\_\_\_\_\ |
|   |             |             |   |             | _\_\_\_\_\_ |
|   |             |             |   |             | \_\_\_\_\_^ |
+---+-------------+-------------+---+-------------+-------------+
|   |             |             |   |             |             |
+---+-------------+-------------+---+-------------+-------------+

+---+---+------------------------------------------------------------+
|   |   | -   **^2.8^^\ ^^What\ professional\ ser                    |
|   |   | vice\ have\ you\ undertaken\ since\ graduate\ school?\ ^** |
|   |   |                                                            |
|   |   | -   **^\ ^^Mark\ all\ that\ apply.^**                      |
|   |   |                                                            |
|   |   | ^Service^                                                  |
+---+---+------------------------------------------------------------+
|   |   |                                                            |
+---+---+------------------------------------------------------------+
|   |   | -   ^1.\ ^                                                 |
|   |   |                                                            |
|   |   | ^Conference\ presentation\ proposal\ reviewer^             |
+---+---+------------------------------------------------------------+
|   |   | -   ^2.\ ^                                                 |
|   |   |                                                            |
|   |   | ^Manuscript/chapter\ reviewer^                             |
+---+---+------------------------------------------------------------+
|   |   | -   ^3.\ ^                                                 |
|   |   |                                                            |
|   |   | ^Departmental\ committee^                                  |
+---+---+------------------------------------------------------------+
|   |   | -   ^4.\ ^                                                 |
|   |   |                                                            |
|   |   | ^Institutional/company-wide\ committee^                    |
+---+---+------------------------------------------------------------+
|   |   | -   ^5.\ ^                                                 |
|   |   |                                                            |
|   |   | ^Professional\ organization\ committee^                    |
+---+---+------------------------------------------------------------+
|   |   | -   ^6.\ ^                                                 |
|   |   |                                                            |
|   |   | ^Local\ community/government\ committee/panel^             |
+---+---+------------------------------------------------------------+
|   |   | -   ^7.\ ^                                                 |
|   |   |                                                            |
|   |   | ^State-level\ committee/panel^                             |
+---+---+------------------------------------------------------------+
|   |   | -   ^8.\ ^                                                 |
|   |   |                                                            |
|   |   | ^National\ committee/panel^                                |
+---+---+------------------------------------------------------------+
|   |   | -   ^9.\ ^                                                 |
|   |   |                                                            |
|   |   | ^Off-campus\ peer                                          |
|   |   | \ review\ panel,\ accreditation\ and\ certification\ team^ |
+---+---+------------------------------------------------------------+
|   |   | -   ^10.\ ^                                                |
|   |   |                                                            |
|   |   | ^Member\ of\ editorial\ board\ of\ professional\ journal^  |
+---+---+------------------------------------------------------------+
|   |   | -   ^11.\ ^                                                |
|   |   |                                                            |
|   |   | ^Editor\ of\ professional\ journal^                        |
+---+---+------------------------------------------------------------+
|   |   |                                                            |
+---+---+------------------------------------------------------------+
|   |   | -   ^12.\ ^                                                |
|   |   |                                                            |
|   |   | ^Other\ (please\ specify)\_\_\_\_\_\_\_\_\_\_\_\_\         |
|   |   | _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_^ |
+---+---+------------------------------------------------------------+
|   |   |                                                            |
+---+---+------------------------------------------------------------+

  --
  --

  --
  --

-   **^2.9^^\ ^^Please\ list\ honors\ and\ awards\ you\ have\ received.^**

-   **^2.10^^\ ^^Please\ list\ any\ other\ professional\ accomplishments\ since\ graduate\ school\ that\ you\ wish\ to\ tell\ us\ about.\ ^**

+-------------------------------+---+-------------------------------+
| -   **^                       |   |                               |
| Section\ 3:\ Financial\ Suppo |   |                               |
| rt\ in\ Graduate\ School\ ^** |   |                               |
|                               |   |                               |
|     -                         |   |                               |
|   **^3.1^^\ ^^Indicate\ finan |   |                               |
| cial\ support\ and\ employmen |   |                               |
| t\ while\ enrolled\ in\ gradu |   |                               |
| ate\ school\ full\ time.\ ^** |   |                               |
|                               |   |                               |
|     -   **^\                  |   |                               |
|  ^^Mark\ all\ that\ apply.^** |   |                               |
|                               |   |                               |
| ^Graduate\ Assistantship^     |   |                               |
+-------------------------------+---+-------------------------------+
|                               |   |                               |
+-------------------------------+---+-------------------------------+
|                               |   | -   ^1.\ ^                    |
|                               |   |                               |
|                               |   | ^Research\ Assistantship^     |
+-------------------------------+---+-------------------------------+
|                               |   | -   ^2.\ ^                    |
|                               |   |                               |
|                               |   | ^Teaching\ Assistantship^     |
+-------------------------------+---+-------------------------------+
|                               |   | -   ^3.\ ^                    |
|                               |   |                               |
|                               |   | ^A                            |
|                               |   | dministrative\ Assistantship^ |
+-------------------------------+---+-------------------------------+
|                               |   |                               |
+-------------------------------+---+-------------------------------+
|                               |   |                               |
+-------------------------------+---+-------------------------------+
|                               |   |                               |
+-------------------------------+---+-------------------------------+
|                               |   | -   ^Employed^                |
|                               |   |                               |
|                               |   |     -   ^4.\ ^                |
|                               |   |                               |
|                               |   | ^On\ Campus^                  |
+-------------------------------+---+-------------------------------+
|                               |   | -   ^5.\ ^                    |
|                               |   |                               |
|                               |   | ^Off\ Campus^                 |
+-------------------------------+---+-------------------------------+
|                               |   |                               |
+-------------------------------+---+-------------------------------+
|                               |   | -   ^6.\ ^                    |
+-------------------------------+---+-------------------------------+
|                               |   |                               |
+-------------------------------+---+-------------------------------+

+--------------+------------+-------------+-------------+---------+
| -            | ^Awarded?^ | ^Number^    | ^Number^    |         |
|  ^Held\ Fell |            |             |             |         |
| owship\ or\  |            |             |             |         |
| Traineeship^ |            |             |             |         |
|              |            |             |             |         |
| -            |            |             |             |         |
| **^3.2^^\ ^^ |            |             |             |         |
| What\ gradua |            |             |             |         |
| te\ fellowsh |            |             |             |         |
| ips\ did\ yo |            |             |             |         |
| u\ apply\ fo |            |             |             |         |
| r\ as\ a\ gr |            |             |             |         |
| aduate\ stud |            |             |             |         |
| ent?\ If\ yo |            |             |             |         |
| u\ did\ not\ |            |             |             |         |
|  apply\ for\ |            |             |             |         |
|  any\ fellow |            |             |             |         |
| ships\ as\ a |            |             |             |         |
| \ graduate,\ |            |             |             |         |
|  mark\ here\ |            |             |             |         |
|  ^^\ and\ go |            |             |             |         |
| \ to\ next\  |            |             |             |         |
| question.^** |            |             |             |         |
|              |            |             |             |         |
| ^Name\ of\   |            |             |             |         |
|  Fellowship^ |            |             |             |         |
+--------------+------------+-------------+-------------+---------+
|              |            |             |             |         |
+--------------+------------+-------------+-------------+---------+
|              |            | ^Yes^       | ^of^        | ^of^    |
+--------------+------------+-------------+-------------+---------+
|              |            |             |             |         |
+--------------+------------+-------------+-------------+---------+
|              | ^No^       | ^Accepted?^ | ^years^     | ^years^ |
+--------------+------------+-------------+-------------+---------+
|              |            |             |             |         |
+--------------+------------+-------------+-------------+---------+
|              |            | ^Yes^       | ^available^ | ^held^  |
+--------------+------------+-------------+-------------+---------+
|              |            |             |             |         |
+--------------+------------+-------------+-------------+---------+
|              | -   ^1.\ ^ | ^q\ ^       |             |         |
|              |            |             |             |         |
|              | ^q^        |             |             |         |
+--------------+------------+-------------+-------------+---------+
|              |            |             |             |         |
+--------------+------------+-------------+-------------+---------+
|              | -   ^2.\ ^ | ^q\ ^       |             |         |
|              |            |             |             |         |
|              | ^q^        |             |             |         |
+--------------+------------+-------------+-------------+---------+
|              | -   ^3.\ ^ | ^q\ ^       |             |         |
|              |            |             |             |         |
|              | ^q^        |             |             |         |
+--------------+------------+-------------+-------------+---------+
|              | -   ^4.\ ^ | ^q\ ^       |             |         |
|              |            |             |             |         |
|              | ^q^        |             |             |         |
+--------------+------------+-------------+-------------+---------+
|              | -   ^5.\ ^ | ^q\ ^       |             |         |
|              |            |             |             |         |
|              | ^q^        |             |             |         |
+--------------+------------+-------------+-------------+---------+
|              |            |             |             |         |
+--------------+------------+-------------+-------------+---------+
|              | -   ^6.\ ^ | ^q\ ^       |             |         |
|              |            |             |             |         |
|              | ^q^        |             |             |         |
+--------------+------------+-------------+-------------+---------+
|              |            |             |             |         |
+--------------+------------+-------------+-------------+---------+

+----------------------------------+----------------------------------+
| -   **^3.3^^\ ^                  | ^No\ \ \ Pleas                   |
| ^Have\ you\ heard\ of\ the\ NSF\ | e\ go\ to\ Section\ 4\ page\ 19^ |
|  Graduate\ Research\ Fellowship\ |                                  |
|  program\ (including\ the\ Minor |                                  |
| ity\ Graduate\ Fellowship)?\ ^** |                                  |
|                                  |                                  |
| ^q^                              |                                  |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+
| ^q^                              | ^Yes\ \                          |
|                                  | \ Continue\ with\ Question\ 3.4^ |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+

+---+-------------------------------+-------------------------------+
|   | -   **^3.4^^\ ^^W             | ^Before\ I\ b                 |
|   | hen\ did\ you\ first\ hear\ o | egan\ undergraduate\ studies^ |
|   | f\ the\ NSF\ Graduate\ Resear |                               |
|   | ch\ Fellowship\ Program?\ ^** |                               |
|   |                               |                               |
|   | -   **^\ ^^Choose\ one.^**    |                               |
|   |                               |                               |
|   |     -   ^1.\ ^                |                               |
|   |                               |                               |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^2.\ ^                    | ^Whil                         |
|   |                               | e\ I\ was\ an\ undergraduate^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^3.\ ^                    | ^During\ my\ first            |
|   |                               | \ year\ in\ graduate\ school^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^4.\ ^                    | ^Late                         |
|   |                               | r\ in\ my\ graduate\ program^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^5.\ ^                    | ^Afte                         |
|   |                               | r\ I\ left\ graduate\ school^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+

+---+-------------------------------+-------------------------------+
|   | -   **^3.5^^\                 | ^From\ other\ students^       |
|   |  ^^How\ did\ you\ learn\ abou |                               |
|   | t\ the\ NSF\ Graduate\ Resear |                               |
|   | ch\ Fellowship\ program?\ ^** |                               |
|   |                               |                               |
|   | -   **^\                      |                               |
|   |  ^^Mark\ all\ that\ apply.^** |                               |
|   |                               |                               |
|   |     -   ^1.\ ^                |                               |
|   |                               |                               |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^2.\ ^                    | ^From\ the\ university\ adm   |
|   |                               | inistration\ (e.g.,\ Graduate |
|   | ^q^                           | \ Division,\ Career\ Counseli |
|   |                               | ng\ Center,\ Financial\ Aid)^ |
+---+-------------------------------+-------------------------------+
|   | -   ^3.\ ^                    | ^From\ my\ un                 |
|   |                               | dergraduate\ adviser/program^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^4.\ ^                    | ^From\ my\ gradua             |
|   |                               | te\ faculty\ adviser/program^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^5.\ ^                    | ^From\ a                      |
|   |                               | ttendance\ at\ a\ conference^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^6.\ ^                    | ^By\ ex                       |
|   |                               | ploring\ the\ NSF\ Web\ site^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^7.\ ^                    | ^From\ materials              |
|   |                               | \ I\ received\ in\ the\ mail^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^8.\ ^                    | ^Other\ (please\ specify)\ ^  |
|   |                               |                               |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+

+----------------------------------+----------------------------------+
| -   **^3.6^^                     | ^Yes\ \ \ Go\ to\ Question\ 3.8^ |
| \ ^^Have\ you\ ever\ applied\ fo |                                  |
| r\ an\ NSF\ Graduate\ Research\  |                                  |
| Fellowship\ (including\ the\ Min |                                  |
| ority\ Graduate\ Fellowship)?^** |                                  |
|                                  |                                  |
| ^q^                              |                                  |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+
| ^q^                              | ^No\ \                           |
|                                  | \ Continue\ with\ Question\ 3.7^ |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+

+---+---+------------------------------------------------------------+
|   |   | -   **^3.7^^\ ^^Why\ didn^^'^^t\ you                       |
|   |   | \ apply\ for\ a\ NSF\ Graduate\ Research\ Fellowship?\ ^** |
|   |   |                                                            |
|   |   | -   **^\ ^^Mark\ all\ that\ apply.^**                      |
|   |   |                                                            |
|   |   |     -   ^1.\ ^                                             |
|   |   |                                                            |
|   |   | ^I                                                         |
|   |   | \ did\ not\ think\ I\ would\ have\ a\ chance\ of\ success^ |
+---+---+------------------------------------------------------------+
|   |   |                                                            |
+---+---+------------------------------------------------------------+
|   |   | -   ^2.\ ^                                                 |
|   |   |                                                            |
|   |   | ^I\ had\ too\ many\ graduate\ credits\ to\ apply^          |
+---+---+------------------------------------------------------------+
|   |   | -   ^3.\ ^                                                 |
|   |   |                                                            |
|   |   | ^NSF                                                       |
|   |   | \ does\ not\ offer\ fellowships\ in\ my\ field\ of\ study^ |
+---+---+------------------------------------------------------------+
|   |   | -   ^4.\ ^                                                 |
|   |   |                                                            |
|   |   | ^Other\ fellowships\ offered\ higher\ stipends^            |
+---+---+------------------------------------------------------------+
|   |   | -   ^5.\ ^                                                 |
|   |   |                                                            |
|   |   | ^I\ already\ had\ funding\ for\ my\ graduate\ studies^     |
+---+---+------------------------------------------------------------+
|   |   | -   ^6.\ ^                                                 |
|   |   |                                                            |
|   |   | ^I\ am/was\ not\ a\ U.S.\ citizen^                         |
+---+---+------------------------------------------------------------+
|   |   | -   ^7.\ ^                                                 |
|   |   |                                                            |
|   |   | ^I\ am/was\ not\ a\ permanent\ U.S.\ resident^             |
+---+---+------------------------------------------------------------+
|   |   | -   ^8.\ ^                                                 |
|   |   |                                                            |
|   |   | ^I\ did\ not\ know\ about\ it\ w                           |
|   |   | hen\ I\ was\ a\ senior\ or\ first-year\ graduate\ student^ |
+---+---+------------------------------------------------------------+
|   |   | -   ^9.\ ^                                                 |
|   |   |                                                            |
|   |   | ^Too\ much\ work\ to\ complete\ application\ process^      |
+---+---+------------------------------------------------------------+
|   |   |                                                            |
+---+---+------------------------------------------------------------+
|   |   | -   ^10.\ ^                                                |
|   |   |                                                            |
|   |   | ^Other\ (please\ specify)\ ^                               |
+---+---+------------------------------------------------------------+
|   |   |                                                            |
+---+---+------------------------------------------------------------+

**^If\ you\ did\ not\ apply\ for\ an\ NSF\ Graduate\ Research\ Fellowship,\ please\ go\ to\ Section\ 4\ on\ page\ 19.^**

^The\ rest\ of\ the\ questions\ in\ this\ section\ are\ to\ be\ answered\ only\ by\ persons\ who\ applied\ for\ an\ NSF\ Graduate\ Research\ Fellowship,\ including\ the\ Minority\ Graduate\ Fellowship.^

+---+-------------------------------+-------------------------------+
|   | -   **^3.8^^\ ^^If\ you\ ap   | ^Encouraged                   |
|   | plied\ for\ an\ NSF\ fellowsh | \ by\ undergraduate\ adviser^ |
|   | ip\ as\ a\ ^^[senior]{.underl |                               |
|   | ine}^^,\ which\ of\ the\ foll |                               |
|   | owing\ items\ were\ important |                               |
|   | \ in\ your\ decision\ to\ app |                               |
|   | ly?\ If\ you\ did\ ^^[not]{.u |                               |
|   | nderline}^^\ apply\ as\ a\ se |                               |
|   | nior,\ mark\ ^^q^^\ ^^here\ a |                               |
|   | nd\ go\ to\ Question\ 3.9.^** |                               |
|   |                               |                               |
|   | -   **^\ ^                    |                               |
|   | ^Mark\ all\ that\ apply.\ ^** |                               |
|   |                               |                               |
|   |     -   ^1.\ ^                |                               |
|   |                               |                               |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^2.\ ^                    | ^Enco                         |
|   |                               | uraged\ by\ college\ or\ univ |
|   | ^q^                           | ersity\ administrative\ unit^ |
+---+-------------------------------+-------------------------------+
|   | -   ^3.\ ^                    | ^Encouraged                   |
|   |                               | \ by\ peers/fellow\ students^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^4.\ ^                    | ^Encouraged\ by\ family^      |
|   |                               |                               |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^5.\ ^                    | ^En                           |
|   |                               | couraged\ by\ graduate\ depar |
|   | ^q^                           | tment\ I\ wanted\ to\ attend^ |
+---+-------------------------------+-------------------------------+
|   | -   ^6.\ ^                    | ^My\ institution\ ran\ a\     |
|   |                               | workshop\ on\ how\ to\ apply^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^7.\ ^                    | ^In                           |
|   |                               | formation\ on\ NSF\ Web-site^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^8.\ ^                    | ^NSF\ Program\ materials^     |
|   |                               |                               |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^9.\ ^                    | ^Other\ (please\ specify)\ ^  |
|   |                               |                               |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+

+---+-------------------------------+-------------------------------+
|   | -   **^3.9^^\ ^^If\           | ^Encou                        |
|   |  you\ applied\ for\ an\ NSF\  | raged\ by\ graduate\ adviser^ |
|   | fellowship\ as\ a\ ^^[first-y |                               |
|   | ear\ graduate\ student]{.unde |                               |
|   | rline}^^,\ which\ of\ the\ fo |                               |
|   | llowing\ items\ were\ importa |                               |
|   | nt\ in\ your\ decision\ to\ a |                               |
|   | pply?\ If\ you\ did\ ^^[not]{ |                               |
|   | .underline}^^\ apply\ as\ a\  |                               |
|   | first\ year\ graduate\ studen |                               |
|   | t\ mark\ ^^q^^\ here\ and\ go |                               |
|   | \ to\ the\ next\ question.^** |                               |
|   |                               |                               |
|   | -   **^\ ^                    |                               |
|   | ^Mark\ all\ that\ apply.\ ^** |                               |
|   |                               |                               |
|   |     -   ^1.\ ^                |                               |
|   |                               |                               |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^2.\ ^                    | ^Encourag                     |
|   |                               | ed\ by\ graduate\ department^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^3.\ ^                    | ^Encouraged                   |
|   |                               | \ by\ peers/fellow\ students^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^4.\ ^                    | ^Encouraged\ by\ family^      |
|   |                               |                               |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^5.\ ^                    | ^My\ institution\ ran\ a\     |
|   |                               | workshop\ on\ how\ to\ apply^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^6.\ ^                    | ^In                           |
|   |                               | formation\ on\ NSF\ Web-site^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^7.\ ^                    | ^NSF\ program\ materials^     |
|   |                               |                               |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^8.\ ^                    | ^Received\ Honorable\ Mentio  |
|   |                               | n\ in\ previous\ application^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^9.\ ^                    | ^                             |
|   |                               | Received\ other\ encouragemen |
|   | ^q^                           | t\ in\ previous\ application^ |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^10.\ ^                   | ^Other\ (please\ specify)\ ^  |
|   |                               |                               |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+

+----------------------------------+----------------------------------+
| -   **^3.10^^\ ^^W               | ^No,\ I\ was\ never\ awarded     |
| ere\ you\ awarded\ an\ NSF\ Grad | \ an\ NSF\ fellowship\ \ \ Pleas |
| uate\ Research\ Fellowship?\ ^** | e\ go\ to\ Section\ 4\ page\ 19^ |
|                                  |                                  |
| -   **^\ ^^Choose\ one.^**       |                                  |
|                                  |                                  |
| ^q^                              |                                  |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+
| ^q^                              | ^Yes,\                           |
|                                  |  I\ was\ awarded\ a\ fellowship\ |
|                                  |  on\ my\ first\ application\ \ \ |
|                                  |  Continue\ with\ Question\ 3.11^ |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+
| ^q^                              | ^Yes,                            |
|                                  | \ I\ was\ awarded\ a\ fellowship |
|                                  | \ on\ my\ second\ application\ \ |
|                                  |  Continue\ with\ Question\ 3.11^ |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+

+----------------------------------+----------------------------------+
| -   **^3.11^^\ ^^                | ^                                |
| Did\ you\ accept\ the\ NSF\ Grad | Yes\ \ \ Go\ to\ Question\ 3.13^ |
| uate\ Research\ Fellowship?\ ^** |                                  |
|                                  |                                  |
| -   **^\ ^^Choose\ one.^**       |                                  |
|                                  |                                  |
| ^q^                              |                                  |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+
| ^q^                              | ^No\ \ \                         |
|                                  |  Continue\ with\ Question\ 3.12^ |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+

+---+-------------------------------+-------------------------------+
|   | -                             | ^I\ received\ ano             |
|   | **^3.12^^\ ^^Why\ did\ you\ n | ther\ financial\ award\ that\ |
|   | ot\ accept\ the\ NSF\ Graduat |  offered\ a\ higher\ stipend^ |
|   | e\ Research\ Fellowship?\ ^** |                               |
|   |                               |                               |
|   | -   **^\                      |                               |
|   |  ^^Mark\ all\ that\ apply.^** |                               |
|   |                               |                               |
|   |     -   ^1.\ ^                |                               |
|   |                               |                               |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^2.\ ^                    | ^I\ received\ another\ finan  |
|   |                               | cial\ award\ that\ offered\ b |
|   | ^q^                           | etter\ non-stipend\ support^\ |
|   |                               | ^(i.e.,\ expenses             |
|   |                               | \ for\ research\ or\ travel)^ |
+---+-------------------------------+-------------------------------+
|   | -   ^3.\ ^                    | ^I\ decide                    |
|   |                               | d\ not\ to\ pursue\ my\ gradu |
|   | ^q^                           | ate\ studies\ at\ that\ time^ |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^4.\ ^                    | ^Other\ (please\ specify)\ ^  |
|   |                               |                               |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+

-   **^Now\ go\ to\ Section\ 4\ page\ 19.^**

^Questions\ 3.13\ through\ 3.16\ are\ for\ individuals\ who\ have\ held\ NSF\ Graduate\ Research\ Fellowships,\ including\ Minority\ Graduate\ Fellowships.\ ^

+---+-------------------------------+-------------------------------+
|   | -   **^3.13^^\ ^              | ^Full-                        |
|   | ^What\ were\ the\ advantages\ | time\ study\ allowed\ for\ a\ |
|   |  of\ having\ an\ NSF\ Graduat |  quicker\ start\ in\ program^ |
|   | e\ Research\ Fellowship?\ ^** |                               |
|   |                               |                               |
|   | -   **^\                      |                               |
|   |  ^^Mark\ all\ that\ apply.^** |                               |
|   |                               |                               |
|   |     -   ^1.\ ^                |                               |
|   |                               |                               |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^2.\ ^                    | ^Will/did\ shorten\ my\       |
|   |                               | time\ to\ degree\ completion^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^3.\ ^                    | ^Reputation\ among\ f         |
|   |                               | aculty\ as\ a\ good\ student^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^4.\ ^                    | ^Perception\ by\ peers\       |
|   |                               |  as\ being\ a\ good\ student^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^5.\ ^                    | ^Better\ opportunity\ to      |
|   |                               | \ choose\ research\ projects^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^6.\ ^                    | ^I\ was\ an                   |
|   |                               | \ asset\ to\ faculty\ to\ wor |
|   | ^q^                           | k\ on\ their\ projects\ becau |
|   |                               | se\ I\ had\ my\ own\ funding^ |
+---+-------------------------------+-------------------------------+
|   | -   ^7.\ ^                    | ^H                            |
|   |                               | aving\ it\ on\ my\ CV\ helped |
|   | ^q^                           | /will\ help\ in\ job\ search^ |
+---+-------------------------------+-------------------------------+
|   | -   ^8.\ ^                    | ^F                            |
|   |                               | inancial\ support\ (stipend)^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^9.\ ^                    | ^Tuition\ assistance\ (cos    |
|   |                               | t\ of\ education\ allowance)^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^10.\ ^                   | ^Other\ (ple                  |
|   |                               | ase\ specify)\_\_\_\_\_\_\_\_ |
|   | ^q^                           | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
|   |                               | _\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|   |                               | \_\_\_\_\_\_\_\_\_\_\_\_\_\_^ |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+

+---+-------------------------------+-------------------------------+
|   | -   **^3.14^^\ ^^Wha          | ^No\ office\ spa              |
|   | t\ were\ the\ disadvantages\  | ce\ provided\ by\ department^ |
|   | to\ holding\ an\ NSF\ Graduat |                               |
|   | e\ Research\ Fellowship?\ ^** |                               |
|   |                               |                               |
|   | -   **^\                      |                               |
|   |  ^^Mark\ all\ that\ apply.^** |                               |
|   |                               |                               |
|   |     -   ^1.\ ^                |                               |
|   |                               |                               |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^2.\ ^                    | ^Less\ opportunity\ to\       |
|   |                               |  work\ with\ faculty\ on\ the |
|   | ^q^                           | ir\ research\ projects\ (RA)^ |
+---+-------------------------------+-------------------------------+
|   | -   ^3.\ ^                    | ^Less\ oppo                   |
|   |                               | rtunity\ to\ work\ collaborat |
|   | ^q^                           | ively\ with\ other\ students^ |
+---+-------------------------------+-------------------------------+
|   | -   ^4.\ ^                    | ^Less\                        |
|   |                               | opportunity\ to\ teach\ (TA)^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^5.\ ^                    | ^Isolated\ from\              |
|   |                               | other\ students\ in\ program^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^6.\ ^                    | ^Could\ n                     |
|   |                               | ot\ live\ on\ stipend\ alone^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^7.\ ^                    | ^Sup                          |
|   |                               | port\ only\ lasted\ 3\ years^ |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+
|   | -   ^8.\ ^                    | ^Other\ (please\ specify)\ ^  |
|   |                               |                               |
|   | ^q^                           |                               |
+---+-------------------------------+-------------------------------+
|   |                               |                               |
+---+-------------------------------+-------------------------------+

+----------------------------------+----------------------------------+
| -   **^3.15^^                    | ^Yes^                            |
| \ ^^Did\ your\ institution\ offe |                                  |
| r\ you\ financial\ support\ afte |                                  |
| r\ your\ fellowship\ ended?\ ^** |                                  |
|                                  |                                  |
| -   **^\ ^^Choose\ one.^**       |                                  |
|                                  |                                  |
| ^q^                              |                                  |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+
| ^q^                              | ^No^                             |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+
| ^q^                              | ^Not\ applicable,\               |
|                                  | did\ not\ need\ additional\ aid^ |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+

+---+-----------+-----------+-----------+-----------+-----------+
|   | -   **^3  | ^Larger\  | ^Longer\  | ^More\    | \         |
|   | .16^^\ ^^ |  Stipend^ | Duration^ | Prestige^ | ^Other    |
|   | In\ your\ |           |           |           | -please\  |
|   |  field,\  |           |           |           | specify:^ |
|   | are\ ther |           |           |           |           |
|   | e\ fellow |           |           |           |           |
|   | ships\ or |           |           |           |           |
|   | \ other\  |           |           |           |           |
|   | sources\  |           |           |           |           |
|   | of\ stude |           |           |           |           |
|   | nt\ suppo |           |           |           |           |
|   | rt\ that\ |           |           |           |           |
|   |  are\ mor |           |           |           |           |
|   | e\ desira |           |           |           |           |
|   | ble\ than |           |           |           |           |
|   | \ the\ NS |           |           |           |           |
|   | F\ Gradua |           |           |           |           |
|   | te\ Resea |           |           |           |           |
|   | rch\ Fell |           |           |           |           |
|   | owship.\  |           |           |           |           |
|   | If\ so,\  |           |           |           |           |
|   | why?\ ^** |           |           |           |           |
|   |           |           |           |           |           |
|   | ^Fel      |           |           |           |           |
|   | lowship\  |           |           |           |           |
|   | or\ Other |           |           |           |           |
|   | \ Source^ |           |           |           |           |
|   |           |           |           |           |           |
|   | ^(p       |           |           |           |           |
|   | lease\ wr |           |           |           |           |
|   | ite\ in)^ |           |           |           |           |
+---+-----------+-----------+-----------+-----------+-----------+
|   |           |           |           |           |           |
+---+-----------+-----------+-----------+-----------+-----------+
|   |           | -         | ^q^       | ^q^       |           |
|   |           |    ^1.\ ^ |           |           |           |
|   |           |           |           |           |           |
|   |           | ^q^       |           |           |           |
+---+-----------+-----------+-----------+-----------+-----------+
|   |           | -         | ^q^       | ^q^       |           |
|   |           |    ^2.\ ^ |           |           |           |
|   |           |           |           |           |           |
|   |           | ^q^       |           |           |           |
+---+-----------+-----------+-----------+-----------+-----------+
|   |           |           |           |           |           |
+---+-----------+-----------+-----------+-----------+-----------+
|   |           | -         | ^q^       | ^q^       |           |
|   |           |    ^3.\ ^ |           |           |           |
|   |           |           |           |           |           |
|   |           | ^q^       |           |           |           |
+---+-----------+-----------+-----------+-----------+-----------+
|   |           |           |           |           |           |
+---+-----------+-----------+-----------+-----------+-----------+

+-------------------------------------+------------+
| -   **^Section\ 4:\ Demographics^** | ^Female\ ^ |
|                                     |            |
|     -   **^4.1^^\ ^^Are\ you\...^** |            |
|                                     |            |
| ^q^                                 |            |
+-------------------------------------+------------+
|                                     |            |
+-------------------------------------+------------+
| ^q^                                 | ^Male^     |
+-------------------------------------+------------+
|                                     |            |
+-------------------------------------+------------+

+-----------------------------------------------------+---------+----------+
|                                                     |         |          |
+-----------------------------------------------------+---------+----------+
|                                                     |         |          |
+-----------------------------------------------------+---------+----------+
| -   **^4.2^^\ ^^What\ is\ your\ date\ of\ birth?^** | *^Day^* | *^Year^* |
|                                                     |         |          |
| *^Month^*                                           |         |          |
+-----------------------------------------------------+---------+----------+
|                                                     |         |          |
+-----------------------------------------------------+---------+----------+

+---------------------------------+-----------------------------+
| -   **^4.3^^\ ^^Ethnicity.\ ^** | ^Hispanic\ or\ Latino^      |
|                                 |                             |
| -   **^\ ^^Choose\ one.^**      |                             |
|                                 |                             |
| ^q^                             |                             |
+---------------------------------+-----------------------------+
|                                 |                             |
+---------------------------------+-----------------------------+
| ^q^                             | ^Not\ Hispanic\ or\ Latino^ |
+---------------------------------+-----------------------------+
|                                 |                             |
+---------------------------------+-----------------------------+

+----------------------------------+----------------------------------+
| -   **^4.4^^\ ^^Race.\ ^**       | ^Ameri                           |
|                                  | can\ Indian\ or\ Alaska\ Native^ |
| -                                |                                  |
| **^\ ^^Choose\ one\ or\ more.^** |                                  |
|                                  |                                  |
| ^q^                              |                                  |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+
| ^q^                              | ^Asian\ ^                        |
+----------------------------------+----------------------------------+
| ^q^                              | ^Black\ or\ African\ American^   |
+----------------------------------+----------------------------------+
| ^q^                              | ^Native\ Hawaiia                 |
|                                  | n\ or\ Other\ Pacific\ Islander^ |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+
| ^q^                              | ^White^                          |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+

  ----------------------------------- ---------------------------------------------------
  ^U.S.\ Citizen\ or\ national^[^1]   
                                      
  ^q^                                 ^Permanent\ Resident^
                                      
  ^q^                                 ^Other\ non-U.S.\ Citizen\ (temporary\ resident)^
                                      
  ----------------------------------- ---------------------------------------------------

+----------------------------------+----------------------------------+
| -   **^4                         | ^Hearing\ Impairment^            |
| .6^^\ ^^Disability\ status.\ ^** |                                  |
|                                  |                                  |
| -                                |                                  |
| **^\ ^^Choose\ one\ or\ more.^** |                                  |
|                                  |                                  |
| ^q^                              |                                  |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+
| ^q^                              | ^Visual\ Impairment^             |
+----------------------------------+----------------------------------+
| ^q^                              | ^                                |
|                                  | Mobility/Orthopedic\ Impairment^ |
+----------------------------------+----------------------------------+
| ^q^                              | ^Other\ (please\ specify)\ ^     |
+----------------------------------+----------------------------------+
| ^q^                              | ^None^                           |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+
| ^q^                              |                                  |
+----------------------------------+----------------------------------+
|                                  |                                  |
+----------------------------------+----------------------------------+

-   **^Check\ here\ if\ you\ do\ not\ wish\ to\ provide\ any\ or\ all\ of\ the\ above\ information.^**

```{=html}
<!-- -->
```
-   **^Section\ 5:\ Final\ Reflections^**

    -   **^5.1^^\ ^^We\ would\ like\ to\ hear\ about\ any\ aspects\ of\ your\ graduate\ school\ experience\ not\ raised\ in\ the\ survey\ that\ have\ had\ a\ major\ influence\ on\ your\ career\ choices\ and\ accomplishments.\ Please\ use\ this\ space\ to\ describe.^**

***^Thank\ You\ for\ Completing\ This\ Survey^***

***^Please\ return\ this\ questionnaire\ in\ the\ envelope\ provided.^***

***^WestEd^***

***^Evaluation\ Research^***

***^4665\ Lampson\ Ave^***

***^Los\ Alamitos,\ CA\ 90720^***

***^(562)\ 598-7661^***

[^1]:
    +----------------------------------------------------------------------+
    | -   **^4.5^^\ ^^Cit                                                  |
    | izenship\ when\ I\ began\ my\ ^^[Reference\ Program.]{.smallcaps}^** |
    |                                                                      |
    | -   **^\ ^^Choose\ one.^**                                           |
    |                                                                      |
    | ^q^                                                                  |
    +----------------------------------------------------------------------+

    ^\ The\ term\ "national\ of\ the\ United\ States"\ designates\ a\ citizen\ of\ the\ United\ States\ or\ a\ native\ resident\ of\ a\ possession\ of\ the\ United\ States,\ such\ as\ American\ Samoa.\ It\ does\ not\ refer\ to\ a\ citizen\ of\ another\ country\ who\ has\ applied\ for\ United\ States\ Citizenship.^