S-STEM Crosswalk

S-STEM Crosswalk.doc

EHR Generic Clearance

S-STEM Crosswalk

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Appendix B


DATA ELEMENTS OF THE DATA COLLECTION FOR THE SCIENCE, TECHNOLOGY, ENGINEERING, AND MATHEMATICS (S-STEM) PROGRAM


Common

Collection

Categories



Question



Staff and Project Participant Characteristics 1



Project Implementation

Characteristics2



Project Outputs 3

1) Fellow Name: First, Middle Initial, Last

X



2) Fellow Date of Birth: Month, Day, Year

X



3) Fellow enrolled in CSEMS program leading to following degree:

-Associate

-Bachelor

-Masters

-Doctoral

X



4) Fellow Permanent Contact Details:

-Home Address

-Home City

-Home State

-Home Zip Code

X



5) Fellow School Residential Contact Details:

-Address

-City

-State

-Zip Code

X



6) Fellow Demographic Information:

-Hispanic or Latino

-Not Hispanic or Latino

- Do not wish to provide

X



7) Race (Choose one or more response):

-American Indian or Alaska Native

-Asian

-Black or African American

-Native Hawaiian or other Pacific Islander

-White

-Do not wish to provide

X



8) Gender(Choose one):

-Male

-Female

- Do not wish to provide

X



9) Disability Status (Choose one or more responses):

-Hearing Impairment

-Visual Impairment

-Mobility/Orthopedic Impairment

-Learning Disability

-None

- Do not wish to provide

-Other

X



10) Fellow Career Goal



X

11 ) Fellow Semester GPA



X

13) Stipend Amount:

Yes/No



X

14) Fellow Academic major

X



15) Class:

-Freshman

-Sophomore

-Junior

-Senior

-Grad Student

X



13) Fellow Employment:

-<20 hours per week

->20 hours per week

-none



X

14) Fellow Internship:

-Paid

-Unpaid

-None



X

15) Fellow Academic Status:

-Active

-Graduated

-Left the program

X




1 Elements of these characteristics include: Name, address, date of birth, gender, ethnicity, race, disability status, class, major, grade point average, yearly fellowship or stipend amount, or project role.

2 Elements of these characteristics include: Sources and amount of funds, fellowships, scholarships, traineeships, partnerships, training, research methods.

3 Elements of these characteristics include: research findings, publications, presentations, degrees granted, educational materials.

File Typeapplication/msword
File TitleCommon
AuthorLarry Suter
Last Modified Bykgimbel
File Modified2007-11-12
File Created2007-08-08

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