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pdfAppendix A:
S-STEM Data Collection Forms
NSF Computer Science, Engineering, and
Mathematics Scholarships Reporting Site
Welcome to the NSF Computer Science, Engineering and Mathematics Scholarships
Reporting Site!
Purpose of the site. This activity is being conducted by the National Science Foundation as part of its efforts
to evaluate the impacts, benefits, and outcomes of the CSEMS Program.
Use of information. The results of the collection will assist the National Science Foundation in assessing the
effectiveness of its programs that support higher education, consider modifications to current programs, and
inform and facilitate reporting as part of the Government Performance and Results Act (GPRA). Any
information that would permit identification of individual respondents will be held in strict confidence.
General Instructions. This reporting site is Internet based. When you answer a question screen, please
remember to SAVE that entry (the button is at the bottom of the screen) so that your data is saved and sent to
NSF. You are allowed to go "Back" (browser button) and change any answer, just be sure to SAVE after
changing your answer, so that changes can be resubmitted to NSF. As part of the reporting responsibility, the
PI is expected to provide the Foundation (Program Officer) with an accurate list of all scholarship recipients
and their demographic characteristics within 30 days of the beginning of each semester/quarter, as well as to
ensure that appropriate documentation (e.g., verification of eligibility, educational progress) on the
scholarship recipients is maintained throughout the life of the program.
Authorization to use this website. To participate it is necessary to have a valid NSF Award ID and a
Password that will be provided by NSF. On your first entry into the system, click on the Sign Me Up link and
enter your NSF, CSEMS Award Id and the Email Id which you had registered with the foundation. A
randomly selected password will be sent to you automatically via e-mail. The e-mail address is that of the PI
on the award.
Do you have a question? For program-based questions contact Victoria Kwasiborski, e-mail:
[email protected].
Privacy Act and Public Burden Statements. The information requested 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).
Public burden for this collection of information is estimated to average 1 hour 45 minutes 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 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 collection is 3145-0136 .
NOTE: This web-based application uses "session variables" to allow you to complete the requested
information and send it to an NSF server. These "session variables" require that your browser be set to
accept "cookies." If you attempt to logon to the input portion of this application and you receive a blank page
or an incomplete page it is likely due to the acceptance of "cookies" being disabled in your browser setup.
The "session variables" are used only for the duration of the individual session and then only for navigation
between pages and the server database. No personally identifiable information is collected nor any retained
by NSF after the session is complete.
NOTE: The Computer Science, Engineering, and Mathematics Scholarships program is administered
by the Division of Undergraduate Education at the National Science Foundation.
Click here to Login
OMB 3145-0136 Expiration < > approval > > > 2007
NSF Privacy Policy
Computer Science Engineering and Mathematics Scholarship Program
Login
This application uses JavaScript for validations and temporary
cookies for sessions. In order for the application to work these
options will have to be turned 'On' on the browser.
I'm a New User to CSEMS
Sign Me Up!
I'm already registered with CSEMS my Award Id and password are
as follows:
Award ID:
Password:
Sign In
Clear All
Click here to Update Password
Click here, If you have forgotten Password
Warning: You will be logged out of the system if there is no activity within 40 minutes and your
responses will not be saved if you haven't saved them. Please remember to save your answers.
NOTE: The Computer Science, Engineering, and Mathematics Scholarships program is administered by the
Division of Undergraduate Education at the National Science Foundation.
Computer Science Engineering and Mathematics Scholarship Program
Help Screen
Help on screen navigation
How do I navigate through the screens? You will be using three screens to maneuver through this data
collection survey. The first screen is the Welcome Screen - use this screen to select the semester/quarter
and year for which you wish to add students or edit student data. Once you have selected a
semester/quarter and year, you will be connected to the Semester/Quarter Summary Data Table. To add
new students, Click on the ADD a New Student Button and you will be taken to the Student Data Capture
Form. Once you complete and save this form, the student's name will appear on the Summary Data Table
for the semester/quarter you have selected and all the subsequent semester/quarter lists until the student's
academic status changes to 'Left the program', 'Graduated' or 'Transferred'. Once a student is listed on the
Summary Data Table, you can edit semester/quarter specific data directly on the table. If you need to
change student data capture information such as address or name, click on the student's name in the
Summary Data Table to access his or her Student Data Capture Form. Selecting "graduated" in the
Academic Status window will automatically take you to the appropriate place on the Student Data Capture
Form where you can record graduation date, post-graduate employment or continued academic
matriculation for the student.
Note: A student is only rolled forwards for ex. a student entered in Spring of 2002 will not appear in
Fall of 2001. The order of sequence is Winter, Spring, Summer and Fall. If a student has been
accidentally entered in the wrong Year or Semester/Quarter then please email us the details and we will
modify the Start Date of the student.
Race definitions
What are NSF's definitions of Race and Ethnicity? Ethnicity Definition: Hispanic or Latino. A person of
Mexican, Puerto Rican, Cuban, South or Central American, or other Spanish culture or origin, regardless of
race. Race Definitions: American Indian or Alaska Native. A person having origins in any of the
original peoples of North and South American (including Central America), and who maintains tribal
affiliation or community attachment. Asian. A person having origins in any of the original peoples of the
Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India,
Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. Black or African
American. A person having origins in any of the black racial groups of Africa. Native Hawaiian or Other
Pacific Islander. A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other
Pacific Islands. White. A person having origins in any of the original peoples of Europe, the Middle East,
or North Africa.
All about ADD a Student button.
What is this Add button for? To enter a new student, Click on the "Add a New Student" button which will
take you to the Student Data Capture Form. Use this form to enter one-time demographic data about the
student. Once the Student Data Capture Form is completed and saved, the student will automatically appear
on the Semester/Quarter Summary Data Table for that particular semester/quarter and each subsequent
semester/quarter until the Academic Status changes. To edit demographic information about the student at
a later time, or to add information about the graduation and post-graduation employment, click on the
student's name in the Data Table and you will automatically be connected to the Student Data Capture
Form where you can make these changes.Semester/Quarter specific information about each student is
edited directly on the Summary Data Table.
Click on the Student Name
What happens when I click on the student name? Clicking on any of the student names will take you to the
Student Data Capture Form where you can view or change the student's personal data or add details about
graduation and post-graduate employment. You can make changes to the screen and click on the 'Save My
Changes' button to save your work.
GPA
GPA The student's GPA is a mandatory field and must be entered for each student on the list. If you fail to
enter the GPA, you will receive a prompt saying "Please Enter Current GPA," and will not be able to save
your information until you do so. This is the cumulative GPA at the beginning of the selected
semester/quarter and year. The format for entering the GPA is 0.00. A GPA of 0.00 must be entered for
those students whose status is "leave of absence". A GPA of 0.00 is also entered for first-semester
freshman, who do not have a cumulative GPA.
Stipend Amount
Stipend Amount The CSEMS annual scholarship is divided among semester/quarter in the year. In this
semester, is the student receiving the maximum amount allowed by the CSEMS program?
Major details
What is major? How do I indicate the student's major? You may select any one of the CSEMS majors from
the list provided or enter a different CSEMS related major by selecting "other" and entering the student's
major in the space provided.
Class
What is class? The official classification of the student designated by the institution (e.g. Freshman,
Sophomore, Junior, Senior, or Grad Student).
What is Student Employment?
What is Student Employment? For the purpose of this survey, student employment is defined as any
employment during the academic semester or quarter in which the student is enrolled as a full-time
CSEMS scholarship recipient. This may include work-study or off campus employment in any field and
does not need to be related to a CSEMS career area.
Internship details
Internship Please indicate student participation in a CSEMS-related internship program or experience. If
the student is participating in an internship experience, please indicate whether this is a paid or unpaid
internship. If the student is not participating in an internship during the current semester/quarter , select
"none" from the menu.
What is Academic details?
Academic details Students are automatically entered as “active” students unless you indicate otherwise.
Students who leave the program because they change majors, change to part-time status, have poor
academic performance, or end their academic career should be listed as "left program". Community college
students who matriculate to 4-year institution are considered to have "graduated" from their CSEMS
program even if they matriculate without receiving an associates degree. All other CSEMS students who
move from a CSEMS institution to another institution should be listed as “transferred”. If a student's
status has been set to "Graduated", "Transferred" or "Left the Program" the student will no longer
appear on the "Summary Data Table". These students are moved to the links 'List of Graduated
Students', 'List of students who have Left the program' and 'List of students who have Transferred'
on the main screen. Their data can be viewed from these links. No data is deleted at any point of
time.
Computer Science Engineering and Mathematics Scholarship Program
List of Graduated Students
Click on the Student's Name to make changes to the student's details.
Student Name
Yr Grad
GPA
Student Working
324123423 324123423432
2000
3.00
No
Alton M Jane
2001
4.00
Yes
Bean R Percival
2000
1.35
No
Bum A Jims
2000
0.00
No
Chawla Divya
2002
3.20
Yes
Collene M Patricia
2000
4.0
Yes
Doaks C. Joe
2000
3.00
No
Fall 2002
2000
3.00
No
Forest a Ele-2001
2000
3.3
Yes
Freak Ima
2000
0.00
No
Jeff D Dave
2002
2.8
No
Loser Ima
2000
2.54
Yes
Mody Purvi
2000
2.60
Yes
ND E Howards
2000
4.00
No
ND E Howards
2000
2.00
Yes
Neufeld Bills
2000
2.30
Yes
One # Test
2000
3.4
No
parikh m prem
2000
3.10
Yes
Smith S David
2000
3.00
Yes
Spring 2000
2000
3.10
No
Student Spring
2000
4.00
Yes
ttt
2000
3.00
No
test spring
2000
3.90
No
Winter 2000
2002
3.0
Yes
yyy
2000
3.55
No
Go Back to the Main Screen
Computer Science Engineering and Mathematics Scholarship Program
Update Password
Enter your Award ID and Old Password. Then type in your New Password
Award ID:
Old Password:
New Password:
Confirm New Password:
Change Password
Clear All
Warning: You will be logged out of the system if there is no activity within 20 minutes and your responses
will not be saved if you haven't saved them. Please remember to save your answers.
Computer Science Engineering and Mathematics Scholarship Program
Student Data Capture Form
Please use this form to add a new student and student demographic data. In the future, you can access this
screen by clicking on the student's name on the Semester/Quarter Summary Data Table that appears when you
select a Semester and Year on the Welcome screen.
Note: Students should be added to the semester/quarter and year in which they start receiving CSEMS
funding.
If this is not the correct semester/quarter and year, please click your browser 'Back' button to change the
semester/quarter and year information.
Award Id : 0000000
Academic Year : 2003
Semester/Quarter
Fall
:
* The fields marked with an asterix are mandatory fields.
Save And Return to Summary Data
Student Personal Information *
First Name
Middle Initial
Last Name
Date of birth
Month:
6 Day:
6 Year:
6 (Click on the down arrows to select a Month, Day and Year.)
Student is enrolled in a CSEMS program leading to the following degree *
j Associate
k
l
m
n
j Bachelor
k
l
m
n
j Master
k
l
m
n
j Doctoral
k
l
m
n
Permanent Contact Details
Home Address1:
Home Address2:
Home City:
Home State: Not Reported
Home Zip Code:
School Residential Contact Details
Address1:
Address2:
-
6
City:
State: Not Reported
Zip Code:
6
-
Student Demographic Information
Ethnicity (Choose one Response):
j Hispanic or Latino
k
l
m
n
j Not Hispanic or Latino
k
l
m
n
j Do not wish to provide
k
l
m
n
Race (Choose One Or More Response): Help?
c American Indian or Alaska Native
d
e
f
g
c Asian
d
e
f
g
c Black or African American
d
e
f
g
c Native Hawaiian or Other Pacific Islander
d
e
f
g
c White
d
e
f
g
c Do not wish to provide
d
e
f
g
Gender (Choose One Response):
j Male
k
l
m
n
j Female
k
l
m
n
j Do not wish to provide
k
l
m
n
Disability Status (Choose One Or More Responses):
c Hearing Impairment.
d
e
f
g
c Visual Impairment.
d
e
f
g
c Mobility/Orthopedic Impairment.
d
e
f
g
c Learning Disability.
d
e
f
g
c None
d
e
f
g
c Do not wish to provide
d
e
f
g
Other:
Career Information
Career Goal:
Save And Return to Summary Data
Computer Science Engineering and Mathematics Scholarship Program
Forgotten Password
Enter your Award ID and email Address, we will send your password through Electronic Mail
Award ID:
PIs email
address:
You must enter the PIs email address as it appears in "PI Info" module of FastLane.
Changes in the PIs email address can be made via the "Edit PI Info" link on FastLane,
and will be reflected on the Monday following the change.
email my Password
Clear All
Warning: You will be logged out of the system if there is no activity within 20 minutes and your responses
will not be saved if you haven't saved them. Please remember to save your answers.
Computer Science Engineering and Mathematics Scholarship
Program
Sign up
Enter your Award ID and email Address, we will send your password through
Electronic Mail
Award ID:
PIs email
address:
You must enter the PIs email address as it appears in "PI Info" module of FastLane.
Changes in the PIs email address can be made via the "Edit PI Info" link on FastLane,
and will be reflected on the Monday following the change.
email my Password
Clear All
Warning: You will be logged out of the system if there is no activity within 20 minutes
and your responses will not be saved if you haven't saved them. Please remember to
save your answers.
Computer Science Engineering and Mathematics Scholarship Program
Student Data Modify Form
Please use this form to edit student demographic data, or to indicate graduation and
post-graduation employment data.
Award Id : 0000000
Academic Year : 2003
Semester/Quarter : Fall
Save my changes
Student Personal Information
First Name
Middle Initial
Last Name
mody
purvi
Date of birth
Month: 11 6 Day: 30 6 Year: 1988 6 (Click on the down arrows to select a Month, Day and Year.)
Student is enrolled in a CSEMS program leading to the following degree
j Associate
k
l
m
n
j Bachelor
k
l
m
n
i Master
j
k
l
m
n
j Doctoral
k
l
m
n
Permanent Contact Details
Home Address1:
Home Address2:
Home City:
Home State: Not Reported
Home Zip Code:
6
-
School Residential Contact Details
Address1:
Address2:
City:
State: Not Reported
Zip Code:
-
Student Demographic Information
Ethnicity (Choose one Response):
j Hispanic or Latino
k
l
m
n
j Not Hispanic or Latino
k
l
m
n
i Do not wish to provide
j
k
l
m
n
Race (Choose One Or More Response): Help?
c American Indian or Alaska Native
d
e
f
g
6
c Asian
d
e
f
g
c Black
d
e
f
g
or African American
Native
Hawaiian or Other Pacific Islander
c
d
e
f
g
c White
d
e
f
g
c Do not wish to provide
d
e
f
g
Gender (Choose One Response):
j Male
k
l
m
n
j Female
k
l
m
n
i Do not wish to provide
j
k
l
m
n
Disability Status (Choose One Or More Responses):
c Hearing Impairment.
d
e
f
g
c Visual Impairment.
d
e
f
g
c Mobility/Orthopedic Impairment.
d
e
f
g
c Learning Disability.
d
e
f
g
c None
d
e
f
g
c Do not wish to provide
d
e
f
g
Other:
Career Information
Career Goal:
Post Graduate Information (Please complete this upon student's graduation.)
Is graduate working in a CSEMS or related field? n
j Yes n
k
l
m
i No
j
k
l
m
Name of the Company:
Nature of the job:
Is graduate pursuing further education in a CSEMS or related area? n
j Yes n
k
l
m
i No
j
k
l
m
Save my changes
Computer Science Engineering and Mathematics Scholarship Program
Welcome to CSEMS
PI Name :
University :
Award Id :
Reports
List of
Graduated
Students
List of
Students
who have
Left the
Program
List of
Students
who have
Transferred
To ADD new students or to UPDATE semester/quarter specific information for current
students, select the appropriate semester/quarter and year and click on the "Submit" button.
Note: Students should be added to the semester/quarter and year in which they start
receiving CSEMS funding.
Please Read Me prior to entering data.
Semester/Quarter :
Fall
Year:
1996 6
Submit
Download
List of
Students
Help
Back to Login Screen
6
Computer Science Engineering and Mathematics Scholarship Program
Semester/Quarter Summary Data Table
Scroll down to access the data table.
Log Out
Award ID :0000000
Academic Year :2004
Semester/Quarter :Fall
Save my Entries
Add a New Student and Related Information
Cancel/Select another Semester/Quarter/Year
Be sure to Save your work before leaving this
screen.
Help?
(Click on any table header link for help on that specific Field )
To update a student's personal details click on the student's name.
Next
Student's
GPA
Name
Stipend
Major
Amt
Not Selected
chapman,
0.00
tracy
j Yes (If Others Please Specify:)
k
l
m
n
j Yes (If Others Please Specify:)
k
l
m
n
j Yes (If Others Please Specify:)
k
l
m
n
0.00
j Yes (If Others Please Specify:)
k
l
m
n
0.00
j Yes (If Others Please Specify:)
k
l
m
n
mody,
purvis
0.00
6
Select a Class 6
6
Select a Class 6
6
Select a Class 6
i No
j
k
l
m
n
Not Selected
id, kip m 0.00
Select a Class 6
i No
j
k
l
m
n
Not Selected
Id, Jip
6
i No
j
k
l
m
n
Not Selected
himes,
rhine
Select a Class 6
i No
j
k
l
m
n
Not Selected
gibbs, joe 0.00
6
i No
j
k
l
m
n
Not Selected
cxvzxcvc,
0.00
vzcxvv
Class
j Yes (If Others Please Specify:)
k
l
m
n
6
Select a Class 6
i No
j
k
l
m
n
j Yes
k
l
m
n
i No
j
k
l
m
n
Not Selected
(If Others Please Specify:)
6
Select a Class 6
Student
Internship Academic Status
Employment
j <20 hours
k
l
m
n
j Paid
k
l
m
n
j >/=20
k
l
m
n
j UnPaid Active
k
l
m
n
6
hours
i None
j
k
l
m
n
i None
j
k
l
m
n
j <20 hours
k
l
m
n
j Paid
k
l
m
n
j >/=20
k
l
m
n
j UnPaid Active
k
l
m
n
6
hours
i None
j
k
l
m
n
i None
j
k
l
m
n
j <20 hours
k
l
m
n
j Paid
k
l
m
n
j >/=20
k
l
m
n
j UnPaid Active
k
l
m
n
6
hours
i None
j
k
l
m
n
i None
j
k
l
m
n
j <20 hours
k
l
m
n
j Paid
k
l
m
n
j >/=20
k
l
m
n
j UnPaid Active
k
l
m
n
6
hours
i None
j
k
l
m
n
i None
j
k
l
m
n
j <20 hours
k
l
m
n
j Paid
k
l
m
n
j >/=20
k
l
m
n
j UnPaid Active
k
l
m
n
6
hours
i None
j
k
l
m
n
i None
j
k
l
m
n
j <20 hours
k
l
m
n
j Paid
k
l
m
n
j >/=20
k
l
m
n
j UnPaid Active
k
l
m
n
6
hours
i None
j
k
l
m
n
i None
j
k
l
m
n
j Paid
k
l
m
j <20 hours n
k
l
m
n
j UnPaid Active
k
l
m
n
j >/=20
k
l
m
n
6
hours
i None
j
k
l
m
n
i None
j
k
l
m
n
Parikh,
Prem S
Parks,
Susan
fjhjf
0.00
j Yes (If Others Please Specify:)
k
l
m
n
i No
j
k
l
m
n
Mathematics
0.00
j Yes (If Others Please Specify:)
k
l
m
n
i No
j
k
l
m
n
Mathematics
public,
john q
j <20
k
l
m
n
Engineering Technology 6
0.00
Save my Entries
j Yes (If Others Please Specify:)
k
l
m
n
i No
j
k
l
m
n
Select a Class 6
hours
j >/=20
k
l
m
n
hours
i None
j
k
l
m
n
j <20 hours
k
l
m
n
6
j >/=20
k
l
m
n
Select a Class 6
hours
i None
j
k
l
m
n
j <20 hours
k
l
m
n
6
j >/=20
k
l
m
n
Select a Class 6
hours
i None
j
k
l
m
n
Add a New Student and Related Information
j Paid
k
l
m
n
j UnPaid Active
k
l
m
n
i None
j
k
l
m
n
6
j Paid
k
l
m
n
j UnPaid Active
k
l
m
n
i None
j
k
l
m
n
6
j Paid
k
l
m
n
j UnPaid Active
k
l
m
n
i None
j
k
l
m
n
6
Cancel/Select another Semester/Quarter/Year
Next
Help?
Computer Science Engineering and Mathematics Scholarship Program
List of Students who have left the program
Click on the Student's Name to make changes to the student's details.
Student Name
The year in which they left the program
GPA
addedbypr testdata2
2000
2.30
Blow Joe
2001
0.00
blower a joe
2001
0.00
datatest testdata
2001
0.00
hhhh g saaa
2001
3.00
qqqqq qq qqqq
2002
0.00
Rhythm Algore
2000
3.45
sdfasdf21431242314134 erqwerqwe21421343
2000
4.00
smith test1
2000
3.58
Somerville M Susan
2002
4.00
Go Back to the Main Screen
Computer Science Engineering and Mathematics Scholarship Program
List of Students who have Transferred
Click on the Student's Name to make changes to the student's details.
Student Name
The year in which they Transferred
GPA
324fsdagsdgaga dsaf34532
2000
2.00
341234343cxsvcazxczc 3243dsfsadfsdfsdfd
2000
3.00
435`3t 4wer3425
2000
4.00
5426245 twy4662
2000
4.00
56254645vcxvc 435345353
2000
3.00
6666666666666666666a a777777777777
2000
4.00
Davis Revalyn
2002
3.20
dsa3242144234 wqe355325
2000
4.00
Fall 2000
2000
3.76
purvis mody
2000
3.22
rehteth546345645 herfh563456
2000
4.00
year_start start_year
2000
0.0
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| File Type | application/pdf |
| File Title | CSEMS Survey |
| Author | kgill |
| File Modified | 2007-11-19 |
| File Created | 2004-09-30 |