NORC at the University of Chicago
GRFP Follow-Up Survey
December 8, 2011
The following table summarizes the source keys used throughout the Follow-up Survey to identify and reference items or series of items adapted for the GRFP Evaluation from other survey research projects. Items accompanying superscript notes have been adapted from other projects, while items without superscript notes were developed for the present GRFP Evaluation or were considered general enough not to warrant a citation. Please note that the final survey to be administered to the sample of GRFP Fellows and Honorable Mentions will not contain this documentation.
Key of GRFP survey items adapted from other survey research projects
Key |
Source |
1 |
Goldsmith, S.S., Presley, J.B., & Cooley, E.A. (2002). National Science Foundation Graduate Research Fellowship Program: Final Evaluation Report (REC 9452969 and 9912174). Available on-line at: http://www.nsf.gov/pubs/2002/nsf02080/nsf02080.pdf |
2 |
Survey of Doctorate Recipients (2010). Available on-line at: http://www3.norc.org/sdr/2010_SDR_Survey_Form.pdf |
3 |
Survey of Earned Doctorates (2010). Available on-line at: http://www.norc.org/NR/rdonlyres/D46C147D-7247-40B7-A087-24B0B390A1EC/0/SED0910_frn.pdf |
4 |
Weidman, J.C., & Stein, E.L. (2003). Socialization of doctoral students to academic norms. Research in Higher Education, 44, 641-658. |
5 |
Anderson, M.S., & Louis, K.S. (1994). The graduate student experience and subscription to the norms of science. Research in Higher Education, 35, 273-299. |
6 |
Anderson, M.S., & Swazey, J.P. (1998). Reflections on the graduate student experience: An overview. New Directions for Higher Education, 101, 3-13. |
7 |
Cohort I Second Follow-up Questionnaire of the Washington State Achievers Tracking and Longitudinal Study (2007). Bill & Melinda Gates Foundation. Questionnaire available upon request. |
8 |
College Senior Survey (2011). Cooperative Institutional Research Program, UCLA. Available on-line at: http://www.heri.ucla.edu/researchers/instruments/FUS_CSS/2011CSS.pdf |
9 |
Cohort 5 First Follow-up Instrument of the Gates Millennium Scholars Tracking and Longitudinal Study (2007). Bill & Melinda Gates Foundation. Questionnaire available upon request. |
10 |
OMB website on Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity. Available online at: http://www.census.gov/population/www/socdemo/race/Ombdir15.html |
11 |
American Community Survey. Available online at: http://www.census.gov/acs/www/ |
Note. Sources are listed in descending order, from the most often cited to the least often cited.
Section
I
GRFP Award Status
GRFP Fellowship status
The first set of questions address your GRFP Fellowship status and experiences with the program.
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Programming note: Section 1 (Part A) will be asked of GRFP Fellowship Recipients only.
Honorable Mention recipients will be skipped ahead to Section II (Part B).
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Did you accept the NSF Graduate Research Fellowship you were awarded? 1
Choose one.
Yes (Skip to Question A.4)
No (Proceed to Question A.2)
Why did you not accept the NSF Graduate Research Fellowship?
Choose all that apply.
I received another fellowship that offered a higher stipend1
I received another fellowship that offered better non-stipend support (expenses for research, travel, etc.)1
I received another financial award (e.g., scholarship, grant, etc.) that offered a higher stipend
I received another financial award (e.g., scholarship, grant, etc.) that offered better non-stipend support (expenses for research, travel, etc.)
I accepted a research assistantship instead of the GRFP award
I accepted a teaching assistantship instead of the GRFP award
I decided not to pursue my graduate studies at that time1
Other (Please specify) ________________________________
Did the NSF Graduate Research Fellowship program requirements influence your decision to not accept the award?
Choose one.
Yes (Proceed to Question 3a)
No (Skip to Question 4)
3a. Please indicate which program requirement discouraged you from accepting the award (check all that apply):
The requirement that I attend a graduate program at a U.S. institution
The service requirement
The three year duration of the award
Not being allowed to concurrently accept other federal fellowship money
Other (Please specify) ________________________________
Did you receive another fellowship or sponsored program award at any time during this five year period?
Yes
No (Skip to Question 4)
In your field, are there other fellowships or other sources of student support that are more desirable than the NSF Graduate Research Fellowship? 1
Yes
No (Skip to Section II)
5a. If yes, please select from the drop-down list and identify why that award was more
desirable.
Fellowship or other source (please write in) |
Larger stipend |
Longer duration |
More prestige |
Other—please specify |
1. See below list |
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2. See below list |
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3. See below list |
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Insert the following list as a drop-down menu for Questions A.4:
Bell Labs Graduate Fellowship
Dept of Defense SMART
Dept of Energy
Dept of State Fulbright Program
EPA Star Fellowship
Ford Foundation Fellowship
GAANN
Hertz Fellowship
Dept of Homeland Security
Jacob Javits Fellowship
LSAMP Bridge to the Doctorate
Marshall Scholarship Program
NASA GSRP
NASA Aeronautics Scholarship Program
NDSEG Fellowship
National Physical Science Consortium Fellowship
Rhodes Scholarship
University Fellowship
Whitaker
Arctic Research Opportunities
Centers of Research Excellence in Science and Technology (CREST)
HBCU Research Infrastructure for Science and Engineering (RISE)
Developing Global Scientists and Engineers (International Research Experiences for Students (IRES) and Doctoral Dissertation Enhancement Projects (DDEP))
Doctoral Dissertation Improvement Grants in the Directorate for Biological Sciences
Dynamics of Coupled Natural and Human Systems
East Asia and Pacific Summer Institutes for U.S. Graduate Students
Ethics Education in Science and Engineering
Federal Cyber Service: Scholarship for Service
Graduate Research Fellowship Program
Minority Graduate Research Fellowship
Integrative Graduate Education and Research Traineeship Program
Graduate STEM Fellows in K-12 Education
Bridge to the Doctorate (LSAMP-BD)
Alliances for Graduate Education and the Professoriate (AGEP) Program
International Research and Education: Planning Visits and Workshops
National STEM Education Distributed Learning
NSF Astronomy and Astrophysics Postdoctoral Fellowships
Pan-American Advanced Studies Institutes Program
Partnerships for International Research and Education
Postdoctoral Fellowships in Polar Regions Research
Presidential Awards for Excellence in Science, Mathematics and Engineering Mentoring
Other
Section
II
Graduate Student Experiences
B. Graduate school Background information
The next set of questions address your graduate school history.
1. Please provide the following information about the institution and degree program for which you sought GRFP support (PROGRAMMING NOTE: REFERENCE PROGRAM ESTABLISHED).1, 3
Institution name __________________________
Branch or city __________________________
State or province __________________________
Country __________________________
Primary field of study from Appendix A __________________________
(Programming note: We will employ a drop down menu for this item based on the GRFP application, see Appendix A)
Month and year you started this degree program _ _ (month) _ _ (year)
Degree sought: □ Master’s degree (e.g., MA, MS, etc.)
□ Research doctoral degree / Ph.D.
Degree earned □ Master’s degree (e.g., MA, MS, etc.)
□ Research doctoral degree / Ph.D.
□ Did not complete degree
Month and year you completed or left this degree program _ _ (month) _ _ (year)
1a. Did you receive any other graduate degrees?
□ Yes (go to Question B.1b)
□ No (skip to Question B.1d)
1b. Please provide the following information about the additional graduate degree program you have attended. 1, 3
Institution name __________________________
Branch or city __________________________
State or province __________________________
Country __________________________
Primary field of study from Appendix A __________________________
(Programming note: we will employ a drop down menu for this item based on Appendix A)
Month and year you started this degree program _ _ (month) _ _ (year)
Degree sought: □ Master’s degree (e.g., MA, MS, MBA, MSW, etc.)
□ Professional degree (e.g., MD, DDS, JD, D.Min, Psy.D., etc.)
□ Research doctoral degree / Ph.D.
Degree earned □ Master’s degree (e.g., MA, MS, MBA, MSW, etc.)
□ Professional degree (e.g., MD, DDS, JD, D.Min, Psy.D., etc.)
□ Research doctoral degree / Ph.D.
□ Did not complete degree
Month and year you completed or left this degree program _ _ (month) _ _ (year)
1c. Did you receive any other graduate degrees?
Yes (return to Question B.1b)
No (skip to Question B.1d)
1d. At any time during your graduate education did you take a leave of absence (stop out or did not register for credit)? Do not count summer enrollment unless your program required summer enrollment. 7
Yes
No
1d.1 If yes, what was the total duration of your leave of absence?
Less than one academic year
One academic year
Between one and two academic years
Two or more academic years
1d.2 What were your main factors that led you to take a leave of absence from your graduate program? Choose all that apply
Financial
Family-related
Work-related
Health
Other…Please specify ___________
1e. Did you change or transfer institutions at any time during your graduate studies?
Yes
No
1f. Did you change your primary field of study at any time during your graduate education?
Yes
No (skip to Question C.1)
If yes, select the most important reason for changing fields - Choose one
My career goals or interests changed
To gain different skills or knowledge
To improve employment opportunities in industry
To improve employment opportunities in academia
I was not performing well academically
To study a field that better fits my interests
Other
C. Experiences during Graduate School
Please respond to the following items in terms of your experience at REFERENCE PROGRAM:
How would you rate REFERENCE PROGRAM on each of the following? 1
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Excellent |
Above
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Average |
Below |
Extremely |
Not applicable |
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How often did the following occur while you were a graduate student at REFERENCE PROGRAM?
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Very often |
Often |
Sometimes |
Rarely |
Never |
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your work |
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To what extent would you agree with the following statements about your experience at REFERENCE PROGRAM?
3a. Resources and support
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Strongly agree |
Agree |
Neither agree nor disagree |
Disagree |
Strongly disagree |
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presentations/publications5 |
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3b. To what extent would you agree with the following statements about your REFERENCE PROGRAM?
Opportunities provided by your program
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Strongly agree |
Agree |
Neither agree nor disagree |
Disagree |
Strongly disagree |
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3c. To what extent would you agree with the following statements about your faculty at REFERENCE PROGRAM?
Relationship with faculty
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Strongly agree |
Agree |
Neither agree nor disagree |
Disagree |
Strongly disagree |
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To what extent did your graduate program provide you with the following?
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To a great extent |
Somewhat |
Very little |
Not at all |
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To what extent did you participate in the following graduate school activities?
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To a great extent |
Somewhat |
Very little |
Not at all |
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When thinking about your intended career path, how important were the following considerations?
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Essential
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Very important |
Somewhat important |
Not important |
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Reflecting on your graduate school enrollment decision, to what extent do you agree or disagree with the following statements?
I decided to enroll in my particular graduate institution:
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Strongly agree |
Agree |
Neither agree nor disagree |
Disagree |
Strongly disagree |
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D. Professional Productivity and Financial Support during Graduate School
The next series of questions addresses your employment patterns and finances during graduate school.
Which of the following were sources of financial support during the course of your overall graduate school experience? 3
Choose all that apply
Fellowship, scholarship
Grant
Teaching assistantship
Research assistantship
Other assistantship
Internship
Loans (from any source)
Personal savings
Personal earnings during graduate school (other than sources listed above)
Spouse’s, partner’s, or family’s earnings or savings
Employer reimbursement/assistance
Foreign (non-U.S.) support
Other…Please specify ___________
Did you work for pay during your REFERENCE PROGRAM? Please do not include teaching and research assistantships, traineeships, fellowships, and internships.
Yes (Go to Question D.2a)
No (Skip to Question D.2e)
If Yes:
2a. On average, how many hours per week did you work? _______
(Programming
note: We will employ a drop down menu with response options in
0 – 4 hour increments.)
2b. Did you work on-campus, off-campus, or both?
On-campus
Off-campus
Both on-campus and off-campus
2c. Was your job related to your graduate school major field of study?
Yes
No
2d. Why did you work? (Please check all that apply) 7, 9
Required as part of my teaching, research, or graduate assistantship
Living expenses
Experience
Support family
Pay back loans or other education-related debt
Pay for school
Help pay for social activities
Fits into career path/internship/Gain experience or skills
Make money/create savings
Other
2e. Did you have an internship during your time at REFERENCE PROGRAM?
Yes
No (Skip to Question D.3)
If yes, was (were) your internship(s):
Paid
Unpaid
I held both paid and unpaid internships while at REFERENCE PROGRAM
If yes, was (were) your internship(s):
In an academic setting
In a non-academic setting (e.g., industry, government)
I held internships in both academic and non-academic setting while at REFERENCE PROGRAM
How many papers did you present while in graduate school? 1
National meetings or conferences |
International meetings or conferences |
□ None |
□ None |
□ 1-4 |
□ 1-4 |
□ 5-8 |
□ 5-8 |
□ 9-12 |
□ 9-12 |
□ 13-16 |
□ 13-16 |
□ 17-20 |
□ 17-20 |
How many of the following publications did you produce in graduate school?
(Include publications in press.) 1
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Primary Author (Number) |
Other Co-Author (Number) |
Refereed journal articles |
Drop down range 0-20 |
Drop down range 0-20 |
Non-refereed articles (i.e., newspaper and magazine articles, book reviews) |
Drop down range 0-20 |
Drop down range 0-20 |
Book chapters/edited books |
Drop down range 0-20 |
Drop down range 0-20 |
Books published |
Drop down range 0-20 |
Drop down range 0-20 |
How many patents did you apply for while in graduate school? (Number) 1 ______
Drop down range 0-10
Did you apply to any of the following types of grants/contracts as a Principal Investigator (PI) or Co-PI while in graduate school? (Mark Yes or No for each) 1
Yes No
□ □ Federal government
□ □ State government
□ □ Local government
□ □ Foundation
□ □ Business/industry
□ □ Employing organization
□ □ Not-for-profit agency
□ □ Professional society or association
Section
III
Academic & Career Outcomes
E. Job History
Here we will be gathering more specific information regarding your employment history. Please note that for the purposes of this section, a postdoctoral appointment should be considered employment.
At the present time, which of the following best describes your employment status? 1, 2
Employed (including self-employment, postdoctoral appointment, or on any kind of paid or unpaid leave, including vacation) (Skip to Question E.3)
Not currently working for pay (Proceed to Question E.2a)
2a. What best describes your reason for not currently working? (Select one) 2
Further education (this EXCLUDES postdoctoral study)
Retired
On layoff from job
Family responsibilities
Medical condition (chronic illness, disability, etc)
Seeking employment
Do not need or want to work
2b. What was the most recent year of employment? ______
(PROGRAMMING NOTE: We will employ a drop down menu with range 1990-2011)
How many jobs have you held since leaving REFERENCE PROGRAM? _____
(Programming note: We will employ a drop down menu with range 0 – 20)
4. Thinking of your current / most recent employment, using the job categories listed, please choose the code that best describes your current or most recent job:2
Code _ _ _ DROP DOWN MENU
(Programming note: we will employ a drop down menu for this item based on Appendix B)
5. Please consider your current / most recent employer. Counting all locations that your employer operates, how many people work for your principal employer? Your best estimate is fine. 2
Choose one
10 or fewer employees
11 - 24 employees
25 - 99 employees
100 - 499 employees
500 - 999 employees
1,000 - 4,999 employees
5,000 - 24,999 employees
25,000+ employees
6. For what type of employer are you/were you most recently working? 2
Choose one
EDUCATION (if selected, go to Question E.7)
U.S. 4-year college or university other than medical school
U.S. medical school (including university-affiliated hospital or medical center)
U.S. university-affiliated research institute
U.S. community or two-year college
U.S. preschool, elementary, middle, secondary school or school system
Foreign educational institution
GOVERNMENT - other than education institution (if selected, skip to Question E.9)
Foreign government
U.S. federal government
U.S. state government
U.S. local government (e.g., city, county, school district)
U.S. Military service
U.S. national laboratory
PRIVATE SECTOR - other than education institution (if selected, skip to Question E.9)
Not for profit organization
Industry or business (for profit)
Start-up company
OTHER
Self-employed
Other…Please specify _______________________________________
7. (If EDUCATION was selected in Question E.6) Is your current / most recent job an academic position? 2
Yes (Go to Question E.8)
No (Skip to Question E.9)
8. What type of academic position(s) do you currently hold / did you most recently hold? 2
Choose all that apply
President, Provost, or Chancellor (any level)
Dean (any level), department head or chair
Research faculty, scientist, associate, or fellow
Non-tenure track-track faculty (e.g., instructor, lecturer, etc)
Tenure-track faculty (e.g., assistant professor, etc)
Tenured faculty (e.g., associate professor, etc)
Adjunct faculty
Postdoc (e.g., postdoctoral fellow or associate)
Research assistant
Teaching assistant
Other position... Please specify_______________________________
9. Please indicate your basic annual salary for your current / most recent job (in the current or most recent year you were employed). Do not include bonuses or additional compensation for summertime teaching or research. If you are not salaried, please estimate your earned income 3
$ |
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OR: If you prefer not to report an exact amount, please indicate into which range you expect your salary to fall: |
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Choose one |
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10. Was this salary based on a 52-week year, or less than that? 2
Include paid vacation and sick leave.
□ 52-week year
□ Less than 52 weeks…Please specify number of weeks _____________
11. What are your primary and secondary work activities at your current / most recent job? 3
Choose one in each column PRIMARY SECONDARY
Research and development □ □
Teaching □ □
Management or administration □ □
Professional services to individuals □ □
Other □ □
If Other, Please specify _____________
Mark if no secondary work activities □
12. To what extent is your work on your current /most recent job related to your field of graduate studies at REFERENCE PROGRAM? 2
Choose one answer.
Closely related
Somewhat related
Not related
13. Thinking about your current / most recent employment, do/did you work for pay at a second job (or business), including part-time, evening, or weekend work? 2
Yes
No
14. Is your current / most recent job the same as your first job after leaving REFERENCE PROGRAM? 2
□ Yes, current / most recent job is same as first job (Skip to Question E.24)
□ No, current / most recent job is different is different than first job (Po to Question E.15)
15. Thinking of the first job you held after leaving REFERENCE PROGRAM, when did you hold this job? 2
Month and year you started working this job __________________________
Month and year you last worked at this job __________________________
15a. Thinking of the first job you held after leaving REFERENCE PROGRAM, please choose the code that best describes that first job. 2
Code _ _ _DROP DOWN MENU
(Programming note: we will employ a drop down menu for this item based on Appendix B)
16. Please consider your first employer. Counting all locations that your employer operates, how many people work for your principal employer? Your best estimate is fine. 2
Choose one
10 or fewer employees
11 - 24 employees
25 - 99 employees
100 - 499 employees
500 - 999 employees
1,000 - 4,999 employees
5,000 - 24,999 employees
25,000+ employee
17. What type of employer did you work for your first job after REFERENCE PROGRAM? 2
Choose one
EDUCATION (if selected, see Question E.18)
U.S. 4-year college or university other than medical school
U.S. medical school (including university-affiliated hospital or medical center)
U.S. university-affiliated research institute
U.S. community or two-year college
U.S. preschool, elementary, middle, secondary school or school system
Foreign educational institution
GOVERNMENT - other than education institution (if selected, skip to Question E.20)
Foreign government
U.S. federal government
U.S. state government
U.S. local government (e.g., city, county, school district)
U.S. Military service
U.S. national laboratory
PRIVATE SECTOR - other than education institution (if selected, skip to Question E.20)
Not for profit organization
Industry or business (for profit)
Start-up company
OTHER
Self-employed
Other…Please specify _______________________________________
18. (If
EDUCATION was selected in Question E.17)
Was your first
job after leaving REFERENCE PROGRAM an academic position?
2
Yes (Proceed to Question E.19)
No (Skip to Question E.20)
19. What type of academic position(s) did you have at your first job? 2
Choose all that apply
President, Provost, or Chancellor (any level)
Dean (any level), department head or chair
Research faculty, scientist, associate, or fellow
Non-tenure track-track faculty (e.g., instructor, lecturer, etc)
Tenure-track faculty (e.g., assistant professor, etc)
Tenured faculty (e.g., associate professor, etc)
Adjunct faculty
Postdoc (e.g., postdoctoral fellow or associate)
Research assistant
Teaching assistant
Other position… Please specify______________________________
What was your basic annual salary for your first job after REFERENCE PROGRAM? Do not include bonuses or additional compensation for summertime teaching or research. If you were not salaried, please estimate your earned income. 3
$ |
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If you prefer not to report an exact amount, please indicate into which range you expect your salary to fall: |
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Mark (X) one |
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21. Was this salary based on a 52-week year, or less than that? 2
Include paid vacation and sick leave.
52-week year
Less than 52 weeks…Please specify number of weeks _____________
22. What were your primary and secondary work activities at your first job after leaving REFERENCE PROGRAM? 3
Choose one in each column PRIMARY SECONDARY
Research and development □ □
Teaching □ □
Management or administration □ □
Professional services to individuals □ □
Other □ □
Mark if no secondary work activities □
23. To what extent was your work on your first job related to your field of graduate studies at REFERENCE PROGRAM? 2
Choose one answer.
Closely related
Somewhat related
Not related
24. Since leaving graduate school, how many papers have you presented? 2
|
National meetings |
International meetings |
Number of Papers Presented |
Range 0-100 |
Range 0-100 |
25. Since leaving graduate school, how many of the following publications have you produced (include in press)? 2
|
Primary Author (Number) |
Other Co-Author (Number) |
Refereed journal articles |
Range 0-50 |
Range 0-50 |
Non-refereed articles (i.e., newspaper and magazine articles, book reviews) |
Range 0-50 |
Range 0-50 |
Book chapters/edited books |
Range 0-50 |
Range 0-50 |
Books published |
Range 0-50 |
Range 0-50 |
26. Since leaving graduate school…2
|
Number |
How many applications for U.S. patents have named you as an inventor? |
Range 0-100 |
How many U.S. patents have been granted to you as an inventor? |
Range 0-100 |
How many of the patents recorded as granted (in category 2 above) have resulted in commercialized products or processes or have been licensed? |
Range 0-100 |
27. Since leaving graduate school, how many and what types of grants/contracts have you been awarded as Principal Investigator? 2
If you have not received a grant as PI, mark here and go to the next question.
Type of Agency |
Number of Grants or Contracts |
Total Amount (Including Overhead) |
Federal government |
Range 0-50 |
|
State government |
Range 0-50 |
|
Local government |
Range 0-50 |
|
Foundation |
Range 0-50 |
|
Business/industry |
Range 0-50 |
|
Employing organization |
Range 0-50 |
|
(Programming note: Total Amount will be open ended with range checks)
28. What teaching activities have you undertaken since graduate school? 1
Mark all that apply. |
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29. What professional services have you undertaken since leaving graduate school?
Choose all that apply.
Conference presentation proposal reviewer1
Manuscript/chapter reviewer1
Departmental committee1
Institutional/company-wide committee1
Professional organization committee1
Local community/government committee/panel1
State-level committee/panel1
National committee/panel1
Off-campus peer review panel, accreditation and certification team1
Member of editorial board of professional journal1
Editor of professional journal1
Professional peer review of grant proposals
Involved in K-12 STEM policy
Outreach to K-12 professionals
Participated in professional development activities for K-12 teachers
Other (Please specify)_________________________________________
Section
IV
Background Characteristics
F. undergraduate Educational Background
We are also interested in your experiences as an undergraduate.
Did you attend community college at any point during your undergraduate education? 3
□ Yes
□ No
Did you participate in any NSF-sponsored programs during your undergraduate education?
□ Yes (Proceed to F.2a)
□ No (Skip to F.3)
2a. If yes, please check all that apply:
Advanced Technological Education
Arctic Research Opportunities
Centers of Research Excellence in Science and Technology (CREST) and HBCU Research Infrastructure for Science and Engineering (RISE)
Developing Global Scientists and Engineers (International Research Experiences for Students (IRES) and Doctoral Dissertation Enhancement Projects (D DEP))
Dynamics of Coupled Natural and Human Systems
Federal Cyber Service: Scholarship for Service
Historically Black Colleges and Universities Undergraduate Program
Integrative Graduate Education and Research Traineeship Program
Interdisciplinary Training for Undergraduates in Biological and Mathematical Sciences
International Research and Education: Planning Visits and Workshops
NSF Scholarships in Science, Technology, Engineering, and Mathematics
Louis Stokes Alliance for Minority Participation (LSAMP)
Tribal Colleges and Universities Program (TCUP)
NSF Computer Science, Engineering, and Mathematics Scholarships (CSEMS)
Partnerships f or International Research and Education
Presidential Awards for Excellence in Science, Mathematics and Engineering Mentoring
Research Experiences for Undergraduates
Research in Disabilities Education
Research in Undergraduate Institutions
Robert Noyce Teacher Scholarship Program
Science, Technology, Engineering, and Mathematics Talent Expansion Program
Other
G. Demographics
Finally, we have a few background questions that will help us understand and analyze the data.
Are you…
Male
Female
Which of the following best describes your ethnicity? 3, 10
Hispanic or Latino (go to Question G.3)
Not Hispanic or Latino (go to Question G.4)
Which of the following best describes your Hispanic or Latino origin or descent? 3, 10
Mark one.
Mexican or Chicano
Puerto Rican
Cuban
Other Hispanic
Do you consider yourself (select one or more)… 1, 2, 10
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
What is your marital status? (choose one) 3
Married
Living in a marriage-like relationship
Widowed
Separated
Divorced
Never married
Not including yourself or your spouse/partner, how many dependents (children or adults) do you have - that is, how many others receive at least one half of their financial support from you? 3
Drop down 0-10 _______
If 0 Skip to G.7
6a. How many of these dependents are under the age of 18? 3
Drop down 0-10 _______
What is the highest educational attainment of your mother and father? 3
Mother Father
□ □ Less than high/secondary school graduate
□ □ High/secondary school graduate
□ □ Some college
□ □ Bachelor’s degree
□ □ Master’s degree (e.g., MA, MS, MBA, MSW, etc.)
□ □ Professional degree (e.g., MD, DDS, JD, D.Min, Psy.D., etc.)
□ □ Research doctoral degree or Ph.D.
□ □ Do not know
Which best described your citizenship when entering graduate school? 1
U.S. Citizen
Non-U.S. Citizen with a Permanent U.S. Resident Visa (“Green Card”)
Non-U.S. Citizen with a temporary U.S. Visa
8a. Which best describes your current citizenship status? 1
U.S. Citizen (Skip to Question G.1)
Non-U.S. Citizen
with a Permanent U.S. Resident Visa (“Green Card”)
(Proceed to Question G.8b)
Non-U.S. Citizen with a temporary U.S. Visa (Proceed to Question G.8b)
8b. Of which country are you currently a citizen? 2, 3
__________________________
What is your date of birth? 1
____Month (1-12)
____Day (1-31)
____Year (19__)
Please answer each of the following as Yes or No. 11
Yes No
□ □ Are you deaf or do you have serious difficulty hearing?
□ □ Are you blind or do you have serious difficulty seeing even when wearing glasses?
□ □ Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions?
□ □ Do you have serious difficulty walking or climbing stairs?
□ □ Do you have difficulty dressing or bathing?
□ □ Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor’s office or shopping?
Thank you for your participation! Please hit the submit button before you close out of the survey.
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Author | splimpto |
File Modified | 0000-00-00 |
File Created | 2021-01-31 |