Doctorate Recipient Follow-up

Please complete and return by

Citizenship Type:

Race:

Hispanic:

Bachelor's Institution:

November 10, 2011 to

1= U.S. Native

1= American Indian or Alaska Native

N=No

Y=Yes

US: Name/Location

Survey of Earned Doctorates

2= U.S. Naturalized

2= Native Hawaiian or Pacific Islander

If Yes:

Foreign: Location Only

1 North State Street

3= Non U.S. Perm Resident

3= Asian

1= Mexican American or Chicano

No B.A.: "No B.A."

Chicago, IL 60602

4= Non U.S. Temp Resident

4= Black or Africa-American

2= Puerto Rican

Phone 1-800-248-8649

5= Non U.S. Resident;

5= White

3= Cuban

Fax 1-800-684-0704

Status Unknown

4= Other Hispanic

4800-SED@norc.uchicago.edu

X = Information already received

NR

SU_ID

DEGREE DATE

MON

DAY

YEAR

SEX

TYPE

COUNTRY

RACE

HISP

INSTITUTION NAME

YEAR

FIELD OF STUDY

IN U.S. VS. OUT OF U.S. ?

08/10

X

08/10

X

X

X

X

X

X

08/10

X

X

X

X

X

X

X

X

X

X

X

08/10

X

X

X

X

X

X

X

X

X

X

X

08/10

X

X

X

X

X

X

X

X

X

X

08/10

X

X

X

X

X

X

X

X

X

08/10

X

X

X

X

X

X

X

X

X

X

12/10

X

12/10

X

X

X

X

X

X

X

X

X

X

05/11

X

X

X

X

X

X

X

X

05/11

X

05/11

X

05/11

X