Download:
pdf |
pdfThe "tracked
changes" that appear
in Attachment 1 are
intended to show the
changes to the 2015
SED questionnaire
proposed for the
2016 SED.
SED
Survey of Earned Doctorates
July 1, 2014 2015 to June 30, 20152016
Conducted by
for
NSF
Logo
NIH
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USED
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USDA
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NEH
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NASA
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Please complete:
First Name
Middle Name
Last Name
Suffix (e.g., Jr.)
Cross Reference: Birth name of former name legally changed
Doctoral Institution
Today’s Date
City or Branch
Type of Research Doctoral Degree (e.g., Ph.D, Ed.D, etc.)
Date Degree Granted (mm/yyyy)
This information is solicited under the authority of the National Science Foundation Act of 1950, as amended. All information you
provide is protected under the NSF Act and the Privacy Act of 1974, and will be used only for research or statistical purposes by
your doctoral institution, the survey sponsors, their contractors and collaborating researchers for the purpose of analyzing data,
preparing scientific reports and articles and selecting samples for a limited number of carefully defined follow-up studies. The
last four digits of your Social Security Number are also solicited under the NSF Act of 1950, as amended; provision of it is
voluntary. It will be kept confidential. It is used for quality control, to assure that we identify the correct persons, especially when
data are used for statistical purposes in Federal program evaluation. Any information publicly released (such as statistical
summaries) will be in a form that does not personally identify you or other respondents. Your response is voluntary and failure to
provide some or all of the requested information will not in any way adversely affect you.
The time needed to complete this form varies according to individual circumstances, but the average time is estimated to be 20
minutes. If you have comments regarding this time estimate, you may write to the National Science Foundation, 4201 Wilson
Blvd., Arlington, VA 22230, Attention: NSF Reports Clearance Officer. A Federal agency may not conduct or sponsor a collection
of information unless it displays a currently valid OMB control number.
For more information about the Survey of Earned Doctorates, go to www.sedsurvey.org
OMB No.: 3145-0019
Approval Expires XX/XX/XXXX06/30/2016
Part A – EDUCATION
INSTRUCTIONS: Please PRINT your name on the front cover. Please print all responses; you
may use either a pen or a pencil.
A1. What is the title of your dissertation?
Please mark (X) this box if the title below refers to a performance, project report or
musical or literary composition required instead of a dissertation.
Title
A2. Please write the name of the primary field of your dissertation research.
Name of Field
Using the list on pages 6-7, choose the code that best describes the primary field of your
dissertation research.
Number of Field
If your dissertation research was interdisciplinary, list the name and number of your
secondary field.
Please mark (X) this box if your dissertation was not interdisciplinary. Go to A3.
Name of Field
Number of Field
If there were more than two fields, please list these additional fields.
Name of Field
Number of Field
Name of Field
A3. Please name the department (or interdisciplinary committee, center, institute, etc.) of
the university that supervised your doctoral studies.
Department/Committee/Center/Institute/Program
2
A4. Did you receive full or partial tuition remission (waiver) for your doctoral studies?
Mark (X) one
1
2
3
4
5
No, I did not receive any tuition remission
Yes, I received remission for less than 1/3 of tuition
Yes, I received between 1/3 and 2/3 of tuition
Yes, I received remission for more than 2/3 of tuition, but less than full
Yes, I received full tuition remission
A5. Please indicate whether each of the following was a source of financial support during
graduate school.
Mark (X) Yes or No for each
Yes
a Fellowship, scholarship
b Grant
c Teaching assistantship
d Research assistantship
e Other assistantship
f Traineeship
g Internship, clinical residency
h Loans (from any source)
i Personal savings
j Personal earnings during graduate school (other than sources listed above)
k Spouse’s, partner’s, or family’s earnings or savings
l Employer reimbursement/assistance
m Foreign (non-U.S.) support
n Other - Specify
1
1
1
1
1
1
1
1
1
1
1
1
1
1
A6. Which TWO sources listed in A5 provided the most support?
Enter letters of primary and secondary sources
1 Primary source of support
2 Secondary source of support
Mark (X) if no secondary source
3
No
2
2
2
2
2
2
2
2
2
2
2
2
2
2
A7. When you receive your doctoral degree, how much money will you owe that is directly
related to your undergraduate and graduate education?
Mark (X) one in each column
a. UNDERGRADUATE
1 None
2 $10,000 or less
3 $10,001 - $20,000
4 $20,001 - $30,000
5 $30,001 - $40,000
6 $40,001 - $50,000
7 $50,001 - $60,000
8 $60,001 - $70,000
9 $70,001 - $80,000
10 $80,001 - $90,000
11 $90,001 or more
Please specify
$
b. GRADUATE
1 None
2 $10,000 or less
3 $10,001 - $20,000
4 $20,001 - $30,000
5 $30,001 - $40,000
6 $40,001 - $50,000
7 $50,001 - $60,000
8 $60,001 - $70,000
9 $70,001 - $80,000
10 $80,001 - $90,000
11 $90,001 or more
Please specify
$
A8. The next few questions ask about the degrees you have received. Please provide the
following information for this doctoral degree, your most recent master’s degree and
your first bachelor’s degree in the appropriate columns below.
a. Have you received a degree of this
type?
b. Month / year degree granted
c. Month / year that you started your
degree
d. Primary field of study
e. Field number from list on pp. 6-7
f. Institution name
g. Branch or city
h. State or province
i. Country
This research
doctoral degree
Most recent master’s
degree (e.g., MS,
MA, MBA) or
equivalent
First bachelor’s
degree (e.g., BA, BS,
AB) or equivalent
Yes
1 Yes
1 Yes
No
2 No
2 No
Month
Year
Month
Year
Month
Year
Month
Year
Month
Year
Month
Year
_______________
________________
_________________
_______________
________________
________________
_______________
________________
________________
_______________
________________
________________
USA
________________
________________
4
A9.
Excluding those above, have you attained any additional postsecondary degrees?
1 Yes
2 No
If yes, please list the additional degree(s), granting institution(s), and years.
First Additional Degree
Degree type
Degree field
Field number, pp. 6-7
Month/Year granted
Institution
Branch or city
State or country
Second Additional Degree
Degree type
Degree field
Field number, pp. 6-7
Month/Year granted
Institution
Branch or city
State or country
If there are more than two degrees, additional degrees should be reported on the back
cover.
A10. Was a master’s degree a prerequisite for admission to your doctoral program?
1 Yes
2 No
A11. In what month and year did you first enter any graduate school in any program or
capacity?
Month
Year
A12. How many years were you:
a. taking courses or preparing for exams for this doctoral degree (including a
master’s degree, if that was part of your doctoral program)?
Years (round to whole years)
b. working on your dissertation after coursework and exams (non-course related
preparation and research, writing and defense)?
Years (round to whole years)
A13. Was there any time between the year you entered your doctoral program and the
award of your doctorate that you were not working on your degree (that is, not taking
courses or working on your dissertation)?
1 Yes
2 No
5
If yes, how many years were you not working on your degree?
Years (round to whole years)
A14. Did you earn college credit from a community or two-year college?
1 Yes
2 No
A15. Are you earning, or have you earned, an MD or a DDS?
MD
DDS
a ARE EARNING?
Yes No
Yes No
b HAVE EARNED?
Yes No
Yes No
6
Part B - POSTGRADUATION PLANS
B1. In what country or state do you intend to live after graduation (within the next year)?
1 in U.S. → State or territory
2 not in U.S. →
Country
B2. A “postdoc” is a temporary position primarily for gaining additional education and
training in research, usually awarded in academe, industry, government, or a nonprofit organization.
Do you intend to take a “postdoc” position?
(A “postdoc” is a temporary position primarily for gaining additional education and
training in research, usually awarded in academe, industry, government, or a non-profit
organization.)
1 Yes
2 No
B3. What is the status of your postgraduate plans (in the next year)?
Mark (X) one
1 Returning to, or continuing in, predoctoral employment
2 Have signed contract or made definite commitment for a “postdoc”
or other work
3
4
5
6
7
Negotiating with one or more specific organizations
Seeking position but have no specific prospects
Other full-time degree program (e.g., MD, DDS, JD, MBA, etc.)
Do not plan to work or study (e.g., family commitments, etc.)
Other - Specify
GO
TO
B4
SKIP
TO
C1,
P.10
B4. What best describes your postgraduate plans (within the next year)?
Mark (X) one
1 “Postdoc” or further training
2 Employment
GO TO B4a
GO TO B4b
B4a. What best describes the nature of your further training or study?
Mark (X) one
1 “Postdoc” fellowship
2 “Postdoc” research associateship
3 Traineeship
GO
TO
B5
7
4 Internship, clinical residency
5 Other Training – Specify
B4b. What best describes the nature of your employment?
Mark (X) one
1 Employment (other than military service)
2 Military Service
Section B continues on Page 9.
8
GO
TO
B6
Please turn this page for the Field of Study List
The Field of Study listing on pages 6 and 7 is to be used in responding to items A2, A8, and A9.
Please choose the code that best describes the name of your field.
9
Business Management/Administration
900 Accounting
910 Business Administration & Management
916 International Business/Trade/Commerce
935 Organizational Behavior (see also
915 Business/Managerial Economics
920 Marketing Management & Research
PSYCHOLOGY: Industrial & Organizational)
901 Finance
917 Management Information Systems/Business
Statistics
938 Business Management/Administration, General
921 Human Resources Development
930 Operations Research (also in ENGINEERING
& in MATHEMATICS)
939 Business Management/Administration, Other
912 Hospitality,Food Service & Tourism
Management
Communication
940 Communication Research
950 Film, Radio, TV & Digital Communication
958 Communication, General
957 Communication Theory
947 Mass Communication/Media Studies
959 Communication, Other
410 Information Science & Systems
418 Computer & Information Sciences, General
415 Robotics
419 Computer & Information Science, Other
840 Counseling Education/Counseling &
Guidance
810 Educational/Instructional Media Design
845 Higher Education/Evaluation & Research
800 Curriculum & Instruction
812 Educational/Instructional Technology
833 International Education
805 Educational Administration & Supervision
807 Educational Leadership
825 School Psychology (also in PSYCHOLOGY)
820 Educational
Assessment/Testing/Measurement
822 Educational Psychology (also in
PSYCHOLOGY)
830 Social/Philosophical Foundations of Education
804 Education & Human Resource
Studies/Development
808 Educational Policy Analysis
835 Special Education
815 Educational Statistics/Research Methods
806 Urban Education and Leadership
Computer & Information sciences
400 Computer Science
Education
Research & Administration
Teacher Education
858 Adult & Continuing Teacher Education
850 Pre-elementary/Early Childhood Teacher
856 Secondary Teacher Education
852 Elementary Teacher Education
Education
Teaching Fields
860 Agricultural Education
870 Family & Consumer/Human Science (also in
Fields Not Elsewhere Classified)
876 Music Education
861 Art Education
866 Foreign Languages Education
878 Nursing Education
865 Bilingual & Multilingual Education
868 Health Education
880 Physical Education & Coaching
864 English Education
882 Literacy & Reading Education
884 Science Education
863 English as a Second or Foreign Language
874 Mathematics Education
885 Social Science Education
889 Teacher Education & Professional Development
Other Education
895 Workforce Education and Development
898 Education, General
899 Education, Other
376 Engineering Management & Administration
357 Nuclear Engineering
Engineering
300 Aerospace, Aeronautical & Astronautical
Engineering
327 Engineering Mechanics
360 Ocean Engineering
303 Agricultural Engineering
330 Engineering Physics
363 Operations Research (also in MATHEMATICS & in
BUSINESS MANAGEMENT)
306 Bioengineering & Biomedical Engineering
333 Engineering Science
366 Petroleum Engineering
10
336 Environmental/Environmental Health
Engineering
369 Polymer & Plastics Engineering
312 Chemical Engineering
337 Geotechnical & Geoenvironmental
Engineering
316 Structural Engineering
315 Civil Engineering
339 Industrial & Manufacturing Engineering
372 Systems Engineering
318 Communications Engineering
342 Materials Science Engineering
373 Transportation & Highway Engineering
321 Computer Engineering
345 Mechanical Engineering
398 Engineering, General
324 Electrical, Electronics & Communications
348 Metallurgical Engineering
399 Engineering, Other
706 African History
705 European History
708 Middle/Near East Studies
700 American History (U.S. & Canada)
710 History, Science & Technology & Society
718 History, General
703 Asian History
707 Latin American History
719 History, Other
Engineering
Humanities
History
Foreign Languages & Literature
768 Arabic
743 German
752 Russian
758 Chinese
746 Italian
749 Spanish
762 Japanese
769 Other Languages & Literature
740 French
750 Latin American
Letters
732 American Literature (U.S. & Canada)
734 English Language
736 Speech & Rhetorical Studies
720 Classics
733 English Literature (British & Commonwealth)
738 Letters, General
723 Comparative Literature
724 Folklore
739 Letters, Other
735 Creative Writing
737 Rhetoric & Composition
Other Humanities
784 Ethics
770 American/U.S. Studies
778 Film/Cinema/Video Studies
788 Musicology/Ethnomusicology
773 Archaeology
777 Jewish/Judaic Studies & History
789 Music, Other
776 Art History/Criticism/Conservation
780 Music
785 Philosophy
792 Bible/Biblical Studies
786 Music Theory & Composition
790 Religion/Religious Studies
796 Dance
787 Music Performance
795 Drama/Theater Arts
798 Humanities, General
799 Humanities, Other
Life sciences
Agricultural Sciences/Natural Resources
043 Food Science
030 Plant Pathology/Phytopathology (also in
000 Agricultural Economics
044 Food Science & Technology, Other
BIOLOGICAL/BIOMEDICAL SCIENCES)
025 Agricultural & Horticultural Plant Breeding
066 Forest Sciences & Biology
039 Plant Sciences, Other
020 Agronomy & Crop Science
070 Forest/Resources Management
046 Soil Chemistry/Microbiology
010 Animal Nutrition
079 Forestry & Related Science, Other
049 Soil Sciences, Other
014 Animal Science, Poultry (or Avian)
050 Horticulture Science
080 Wildlife/Range Management
019 Animal Science, Other
074 Natural Resources/Conservation
072 Wood Science & Pulp/Paper Technology
081 Environmental Science
003 Natural Resource/Environmental Economics
(also in SOCIAL SCIENCES)
098 Agricultural Sciences/Natural Resources, General
055 Fishing & Fisheries Sciences/Management
099 Agricultural Sciences/Natural Resources , Other
11
Biological/Biomedical Sciences
130 Anatomy
139 Ecology
175 Pathology, Human & Animal
110 Bacteriology
145 Endocrinology
180 Pharmacology, Human & Animal
100 Biochemistry (see also PHYSICAL
SCIENCES: Chemistry, Other)
148 Entomology
185 Physiology, Human & Animal
167 Environmental Toxicology
115 Plant Genetics
102 Bioinformatics
134 Epidemiology
120 Plant Pathology/Phytopathology (also in
103 Biomedical Sciences
137 Evolutionary Biology
AGRICULTURAL SCIENCES)
133 Biometrics & Biostatistics
170 Genetics/Genomics, Human & Animal
125 Plant Physiology
105 Biophysics (also in PHYSICS)
151 Immunology
155 Structural Biology
107 Biotechnology
152 Marine Biology & Biological Oceanography
169 Toxicology
129 Botany/Plant Biology
157 Microbiology
168 Virology
158 Cancer Biology
154 Molecular Biology
188 Wildlife Biology
136 Cell/Cellular Biology & Histology
159 Molecular Medicine
189 Zoology, Other
104 Computational Biology
160 Neurosciences & Neurobiology
198 Biology/Biomedical Sciences, General
142 Developmental Biology/Embryology
163 Nutrition Sciences
199 Biology/Biomedical Sciences, Other
166 Parasitology
Health Sciences
210 Environmental Health
222 Kinesiology/Exercise Physiology
245 Rehabilitation/Therapeutic Services
227 Gerontology (also in SOCIAL SCIENCES)
240 Pharmaceutical Sciences
200 Speech-Language Pathology & Audiology
280 Health and Behavior
230 Nursing Science
250 Veterinary Sciences
217 Health Policy Analysis
207 Oral Biology/Oral Pathology
298 Health Sciences, General
213 Health Services Research
215 Public Health
299 Health Sciences, Other
425 Algebra
440 Logic
450 Statistics (also in SOCIAL SCIENCES)
430 Analysis & Functional Analysis
445 Number Theory
455 Topology/Foundations
420 Applied Mathematics
465 Operations Research (also in ENGINEERING
& in BUSINESS MANAGEMENT)
498 Mathematics/Statistics, General
212 Health Systems/Service Administration
Mathematics
460 Computing Theory & Practice
499 Mathematics/Statistics, Other
435 Geometry/Geometric Analysis
Physical sciences
Astronomy
500 Astronomy
505 Astrophysics
509 Astronomy, Other
Atmospheric Science & Meteorology
510 Atmospheric Chemistry & Climatology
514 Meteorology
512 Atmospheric Physics & Dynamics
518 Atmospheric Science/Meteorology, General
519 Atmospheric Science/Meteorology, Other
Chemistry
520 Analytical Chemistry
526 Organic Chemistry
538 Chemistry, General
527 Chemical Biology
530 Physical Chemistry
539 Chemistry, Other (see also
BIOLOGICAL/BIOMEDICAL SCIENCES:
Biochemistry)
522 Inorganic Chemistry
532 Polymer Chemistry
528 Medicinal Chemistry
534 Theoretical Chemistry
12
Geological & Earth Sciences
542 Geochemistry
544 Geophysics & Seismology
550 Stratigraphy & Sedimentation
540 Geology
548 Mineralogy & Petrology
558 Geological & Earth Sciences, General
552 Geomorphology & Glacial Geology
546 Paleontology
559 Geological & Earth Sciences, Other
Ocean/Marine Sciences
585 Hydrology & Water Resources
595 Marine Sciences
590 Oceanography, Chemical & Physical
599 Ocean/Marine, Other
Physics
560 Acoustics
574 Condensed Matter/Low Temperature Physics
570 Plasma/Fusion Physics
576 Applied Physics
577 Medical Physics/Radiological Science
572 Polymer Physics
561 Atomic/Molecular/Chemical Physics
568 Nuclear Physics
578 Physics, General
569 Optics/Phototonics
579 Physics, Other
565 Biophysics (also in
BIOLOGICAL/BIOMEDICAL SCIENCES)
564 Particle (Elementary) Physics
Psychology
618 Educational Psychology (also in
EDUCATION)
602 Behavioral Analysis
615 Experimental Psychology
624 Personality Psychology
600 Clinical Psychology
626 Cognitive Neuroscience (see also
BIOLOGICAL/BIOMEDICAL SCIENCES:
Neurosciences & Neurobiology)
620 Family Psychology
633 Psychometrics & Quantitative Psychology
614 Health & Medical Psychology
636 School Psychology (also in EDUCATION)
613 Human Development & Family Studies
621 Industrial & Organizational (see also
BUSINESS MANAGEMENT: Organizational
Behavior)
639 Social Psychology
603 Cognitive Psychology & Psycholinguistics
642 Community Psychology
609 Counseling
610 Marriage and Family Therapy/Counseling
612 Developmental & Child Psychology
627 Neuropsychology/Physiological Psychology
648 Psychology, General
649 Psychology, Other
Social sciences
655 Anthropology, Cultural
651 Gender and Women’s Studies
678 Political Science & Government
650 Anthropology, General
670 Geography
682 Public Policy Analysis
656 Anthropology, Physical and Biological
684 Gerontology (also in HEALTH SCIENCES)
686 Sociology
652 Area /Ethnic/Cultural Studies
674 International Relations/Affairs
690 Statistics (also in MATHEMATICS)
657 Criminal Justice & Corrections
675 Applied Linguistics
694 Urban Affairs/Studies
658 Criminology
676 Linguistics
695 Urban/City, Community & Regional Planning
662 Demography/Population Studies
665 Natural Resource/Environmental Economics
(also in AGRICULTURAL SCIENCES)
698 Social Sciences, General
668 Econometrics
685 Natural Resource/Environmental Policy
699 Social Sciences, Other
960 Architecture/Environmental Design
972 Library Science
984 Theology/Religious Education (see also OTHER
964 Family/Consumer Science/Human Science
974 Parks/Sports/Rec./Leisure/Fitness
667 Economics
Fields Not Elsewhere Classified (NEC)
(also in EDUCATION)
968 Law
976 Public Administration
980 Social Work
13
HUMANITIES:Religion/Religious Studies, Ethics)
989 Other Fields, Not Elsewhere Classified
B5. (If postdoc or further training) What will be the main source of financial support for
your “postdoc” or further training within the next year?
Mark (X) one
1
2
3
4
5
6
7
U.S. government
Industry/business
College or university
Private foundation
Nonprofit, other than private foundation or college
Foreign government
Other - Specify
8 Unknown
B6. What one type of principal employer will you be working for (or training with) in the
next year?
EDUCATION
1 U.S. 4-year college or university other than medical school
2 U.S. medical school (including university-affiliated hospital or medical center)
3 U.S. university-affiliated research institute
4 U.S. community or two-year college
5 U.S. preschool, elementary, middle, secondary school or school system
6 Foreign educational institution
GOVERNMENT (other than educational institution)
7 Foreign government
8 U.S. federal government
9 U.S. state government
10 U.S. local government
PRIVATE SECTOR (other than educational institution)
11 Not for profit organization
12 Industry (for profit)
OTHER
13 Self-employed
14 Other - Specify
14
B7. Please name the organization and geographic location where you will work or study.
Organization
State or territory (if U.S.)
Country (if not U.S.)
Is this a college or university?
1 Yes
2 No
B8. What will be your basic annual salary for this principal job (in the next year)? Do not
include bonuses or additional compensation for summertime teaching or research. If
you are not salaried, please estimate your earned income.
$
In which currency did you report your salary above?
__ U.S. dollars
__ Another currency – please specify_______________________
If you prefer not to report an exact amount, please indicate into which range you
expect your salary to fall:
Mark (X) one
1
2
3
4
5
6
$30,000 or less
$30,001 - $35,000
$35,001 - $40,000
$40,001 - $50,000
$50,001 - $60,000
$60,001 - $70,000
7 $70,001 - $80,000
8 $80,001 - $90,000
9 $90,001 - $100,000
10 $100,001 - $110,000
11 $110,001 or above
12 Don’t know
B9. How many months does this salary cover?
Number of Months (1-12)
B10.What will be your primary and secondary work activities?
Mark (X) one in each column
a PRIMARY
Research and development
Teaching
Management or administration
Professional services to individuals
Other - Specify
1
2
3
4
5
Mark (X) if no secondary work activities
15
b
SECONDARY
1
2
3
4
5
Part C - BACKGROUND INFORMATION
C1. Are you 1 Male
2 Female
C2. What is your marital status?
Mark (X) one
1
2
3
4
5
6
Married
Living in a marriage-like relationship
Widowed
Separated
Divorced
Never married
C3. 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?
5 years of age or younger
6 to 18 years
19 years or older
Mark (X) if none
Write in number of dependents
C4. What is the highest educational attainment of your mother and father?
Mark (X) one in each parent
Less than high school/secondary school graduate
High school/secondary school graduate
Some college
Associate’s Degree
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
Not applicable/Unknown
16
a MOTHER
1
2
3
4
45
56
b FATHER
1
2
3
4
45
56
67
67
78
89
78
89
C5. What is your place of birth?
State or territory (if U.S.)
OR
Country (if not U.S.)
C6. What is your date of birth?
Month
Day
Year 1 9
C7. What is your citizenship status?
Mark (X) one
U.S. CITIZEN
1 Since birth
2 Naturalized
SKIP
TO
C9
NON-U.S. CITIZEN
3 With a Permanent U.S. Resident Visa (“Green Card”)
4 With a Temporary U.S. Visa
GO
TO
C8
C8. (If a non-U.S. citizen) Of which country are you a citizen?
Specify country of present citizenship
C9. In what state or country was the high school/secondary school that you last attended?
State or territory (if U.S.)
OR
Country (if not U.S.)
C10. Are you Hispanic of Latino?
Mark (X) one
1
2
3
4
5
No, I am not Hispanic or Latino
Yes, I am Mexican or Chicano
Yes, I am Puerto Rican
Yes, I am Cuban
Yes, I am Other Hispanic or Latino - Specify
17
C11.
What is your racial background?
Mark (X) one or more
1 American Indian or Alaska Native
Specify tribal affiliation(s)
2
3
4
5
Native Hawaiian or other Pacific Islander
Asian
Black or African American
White
C12. The following several questions are designed to help us better understand the
educational paths of individuals with specific functional limitations. What is the
USUAL degree of difficulty you have with...
Mark (X) one in each row
NONE
1
SLIGHT
2
MODERATE
3
SEVERE
4
UNABLE
TO DO
5
2 HEARING what is normally said in
conversation with another person (with
hearing aid, if you usually wear one)
1
2
3
4
5
3 WALKING without human or
mechanical assistance or using stairs
1
2
3
4
5
4 LIFTING or carrying something as
heavy as 10 pounds, such as a bag of
groceries
1
2
3
4
5
5 CONCENTRATING,
REMEMBERING, or MAKING
DECISIONS because of a physical, mental
or emotional condition
1
2
3
4
5
1 SEEING words or letters in ordinary
newsprint (with glasses/contact lenses, if
you usually wear them)
C13. Mark this box (X) if you answered “NONE” to all the activities in Question C12,
and go to Question C15.
C14. What is the earliest age at which you first began experiencing any difficulties in any of
these areas?
Age OR Since birth
18
C15. Please fill in the last four digits of your Social Security Number.
- -
REMINDER: ALL INFORMATION YOU PROVIDE WILL BE TREATED AS
CONFIDENTIAL and used only for research or statistical purposes by your doctoral
institution, the survey sponsors, their contractors, and collaborating researchers for the
purpose of analyzing data, preparing scientific reports and articles, and selecting samples
for a limited number of carefully defined follow-up studies.
C16. In case we need to clarify some of the information you have provided, pPlease list
your current mailing address, an email address and telephone number where you can
be reached for possible additional research follow-up.
Your Current Street Address
City/State/Country/Zip or Postal Code
Email Address
Daytime or Cell Telephone Number (including area or country code)
C17. Please provide the name and address of a person who is likely to know where you can
be reached in case your address changes in the near future.
Name of person who will know where you can be reached
Street Address
City/State/Country/Zip or Postal Code
Email Address
Telephone Number (including area or country code)
Thank you for completing this questionnaire. Please use the back cover to make any additional
comments you may have about this survey. The results of this survey will be published in an
annual report; the annual reports on earlier surveys are available at: www.sedsurvey.org
Please return this questionnaire to your GRADUATE SCHOOL for forwarding to:
19
Formatted: Font: Italic
Survey of Earned Doctorates
NORC at the University of Chicago
1 N. State Street, Floor 16
Chicago, IL 60602
If you have questions or concerns about this survey, you may contact us by email at:
sed@norc.org
Or phone at: 1-800-248-8649
For more information about the SED, go to: www.sedsurvey.org
If you have questions about your rights as a study participant, you may call the NORC IRB
Administrator toll-free at: 1-866-309-0542
To the Doctorate Recipient:
Congratulations on earning a doctoral degree!
Your accomplishment is significant for both this nation and others, as the new knowledge
generated by research doctorates enhances the quality of life in this country and throughout the
world. Because of the importance of persons earning research doctorates, several Federal
agencies – listed on the cover – sponsor this Survey of Earned Doctorates.
The basic purpose of this survey is to gather objective data about doctoral graduates. These data
play an important role in local, regional and national initiatives concerning graduate education.
Through outreach meetings with our constituents we have learned that decision makers in
universities, private organizations and government agencies use data from the Survey of Earned
Doctorates when developing new programs and allocating resources to current programs. If you
have any comments about the survey, please provide them in the space below.
On behalf of the sponsoring Federal agencies, I thank you for your participation in this survey.
Best wishes,
John R. Gawalt
National Science Foundation
ADDITIONS TO QUESTIONS
A9. (continued from page 3)
Third Additional Degree
Degree type
Degree field
20
Field number, pp. 6-7
Month/Year granted
Institution
Branch or city
State or country
Fourth Additional Degree
Degree type
Degree field
Field number, pp. 6-7
Month/Year granted
Institution
Branch or city
State or country
Comments about the survey:
OFFICE USE ONLY
Case ID:
Instit. Code:
Grad Date:
Main Disp.:
PROCESSING
Receipt
Initials
Editing
Date
Initials
Date
Initials
Ver: Adjust
Initials
CADE
Date
Initials
Date
Initials
Retrieval
21
Date
Updates
Date
File Type | application/pdf |
Author | mason-admin |
File Modified | 2015-03-20 |
File Created | 2015-03-20 |