LSAMP Monitoring System Crosswalk

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LSAMP Monitoring System Crosswalk

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APPENDIX B


LSAMP Monitoring System Crosswalk

DATA ELEMENTS OF THE LOUIS STOKES ALLIANCES FOR MINORITY PARTICIPATION MONITORING SYSTEM (LSAMP)


New Items

Common Collection Categories



Question

Staff and Project Participant Characteristics1

Project Implementation

Characteristics2

Project Outputs3


Respondent's Contact Information :

Name: First, Last

Phone

Email

X









1. Student Enrollment





Count of Chemistry student enrollment (report Freshmen, Sophomores, Juniors, Seniors, and unknown class students separately, and part-time and full-time students separately) by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X


Count of Physics/Astronomy student enrollment (report Freshmen, Sophomores, Juniors, Seniors, and unknown class students separately, and part-time and full-time students separately) by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X


Count of Mathematics student enrollment (report Freshmen, Sophomores, Juniors, Seniors, and unknown class students separately, and part-time and full-time students separately) by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X


Count of Computer science student enrollment (report Freshmen, Sophomores, Juniors, Seniors, and unknown class students separately, and part-time and full-time students separately) by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X


Count of Geosciences student enrollment (report Freshmen, Sophomores, Juniors, Seniors, and unknown class students separately, and part-time and full-time students separately) by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X


Count of Engineering student enrollment (report Freshmen, Sophomores, Juniors, Seniors, and unknown class students separately, and part-time and full-time students separately) by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X


Count of Life/Biological Sciences student enrollment (report Freshmen, Sophomores, Juniors, Seniors, and unknown class students separately, and part-time and full-time students separately) by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X


Count of Agricultural Sciences student enrollment (report Freshmen, Sophomores, Juniors, Seniors, and unknown class students separately, and part-time and full-time students separately) by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X


Count of Environmental Sciences student enrollment (report Freshmen, Sophomores, Juniors, Seniors, and unknown class students separately, and part-time and full-time students separately) by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X


Count of Non-SMET student enrollment (report Freshmen, Sophomores, Juniors, Seniors, and unknown class students separately, and part-time and full-time students separately) by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X







2. Degree Awards





Count of Chemistry degrees (report Bachelor’s, Master’s, and Doctoral degrees separately) by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X


Count of Physics/Astro degrees (report Bachelor’s, Master’s, and Doctoral degrees separately) by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X


Count of Mathematics degrees (report Bachelor’s, Master’s, and Doctoral degrees separately) by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X


Count of Computer science degrees (report Bachelor’s, Master’s, and Doctoral degrees separately) by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X


Count of Geosciences degrees (report Bachelor’s, Master’s, and Doctoral degrees separately) by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X


Count of Engineering degrees (report Bachelor’s, Master’s, and Doctoral degrees separately) by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X


Count of Life/Biological Sciences degrees (report Bachelor’s, Master’s, and Doctoral degrees separately) by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X


Count of Agricultural Sciences degrees (report Bachelor’s, Master’s, and Doctoral degrees separately) by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X


Count of Environmental Sciences degrees (report Bachelor’s, Master’s, and Doctoral degrees separately) by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X


Count of Non-SMET degrees (report Bachelor’s, Master’s, and Doctoral degrees separately) by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X







3. Activity Data (Complete an activity information screen for each activity conducting during reporting period.)





Activity Title



X


Target (select one)

  • Student

  • Faculty

  • Student and Faculty

  • Other



X


Time Period (select one)

  • Academic Year Only

  • Summer Year Only

  • Calendar Year



X


Coordinators (choose one to three)



X


Category (select one)

  • Teaching

  • Research

  • Service



X


Subcategory (select one)

  • Curriculum Reform

  • Faculty Enrichment

  • Other

  • Curriculum Reform

  • Faculty Enrichment

  • Assistantships

  • Research Pedagogy Courses

  • Research Seminars

  • Special Techniques Training

  • Mentoring

  • Recruitment

  • Environmental Improvement

  • Peer-Group Learning

  • Academic Counseling

  • Special Acad Supp




X


Field (select one)

  • All

  • Clubs

  • Courses

  • Faculty

  • Field Trips

  • Industry

  • Material Development

  • Mod of Degree Requirements

  • Off-Site

  • On-Site

  • Other

  • Peer

  • Recruiters

  • Seminars

  • Short-Courses

  • Social Events

  • Tutoring

  • Visiting Appointments

  • Workshops



X


Activity Description (text box)



X


Activity Goals and Objectives (text box)



X


Activity Outcome (text box)



X


Count of students participating in the activity by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X


Count of faculty and Graduate Students participating in the activity by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X







4. Individual Data





Student Participants (complete a screen for each student)





Name: Last, First, Middle Initial

X




Social Security Number (optional)

X




Gender (select one)

  • Male

  • Female

  • Not Reported

X




Ethnicity (select one)

  • Hispanic or Latino

  • Not Hispanic or Latino

  • Not Reported

X




Race (Choose one or more responses):

  • Native American

  • Alaska Native

  • Asian

  • Black or African American

  • Native Hawaiian or Other Pacific Islander

  • White

  • Not Reported

X




Disability Status (Choose one or more responses):

  • Hearing Impairment

  • Visual Impairment

  • Mobility/Orthopedic Impairment

  • Other

  • None

  • Not Reported

X




Discipline (choose 1 from list)

X




Class (choose 1 from list)

X




GPA (data box)

X




Graduated this Year?

Yes/No

X




Mentor (choose 1 from list)

X




Academic Year Financial Support?

Yes/No


X



Summer Financial Support?

Yes/No


X



Activities in which the individual participated (select all that apply from list generated in section 3)


X



Partner activities in which the individual participated (select all that apply from list generated in section 3)


X



Faculty Participants (complete a screen for each faculty member)





Name: Last, First, Middle Initial

X




Social Security Number (optional)

X




Gender (select one)

  • Male

  • Female

  • Not Reported

X




Ethnicity (select one)

  • Hispanic or Latino

  • Not Hispanic or Latino

  • Not Reported

X




Race (Choose one or more responses):

  • Native American

  • Alaska Native

  • Asian

  • Black or African American

  • Native Hawaiian or Other Pacific Islander

  • White

  • Not Reported

X




Disability Status (Choose one or more responses):

  • Hearing Impairment

  • Visual Impairment

  • Mobility/Orthopedic Impairment

  • Other

  • None

  • Not Reported

X




Discipline (select 1 from list)

X




Faculty Rank (select 1 from list)

X









5. Students Entering Graduate School Information





Count of students who received Direct Support by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X


Count of students who did not receive direct support by:

Race

Black or African American

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

More Than One Race Reported:

Students reporting a) two or more race categories and b) one or more of the reported categories include: Native American, Alaska Native, Black or African American, Native Hawaiian or Other Pacific Islander.

More Than One Race Reported:

Students reporting a) both White and Asian, and b) no other categories in addition to White and Asian.

Race Not Reported or Unknown

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Not Reported

Gender

Male

Female

Not Reported



X







5. Abstract and Budget Information





LSAMP Alliance Abstract, Goals and Systemic Changes (summaries)


Alliance Abstract (text box)


Alliance Goals and Objectives (text box)


Impact and Systemic Changes (text box)



X


LSAMP Alliance-Supported Activities (summaries)


AMP-Supported Student Activities (text box)


AMP-Supported Faculty Development Activities (text box)


AMP-Supported Curriculum Development and Related Activities (text box)


AMP-Supported Summer Bridge and Related Outreach Activities (text box)


Other AMP-Supported Activities (text box)


X



LSAMP Alliance Results: Accomplishments and Obstacles (summaries)


Alliance Highlights (include top three) (text box)


Alliance Accomplishments (text box)


Alliance Obstacles (text box)



X


Alliance Budget:


For each of the Senior Personnel provide:

Number of Personnel (1)

Number of Person Months

Number of Person Months: Academic Year

Number of Person Months: Summer

NSF Dollar Amount

Matching Dollar Amount


For each category of Other Personnel provide:

Number of Personnel (1)

Number of Person Months

Number of Person Months: Academic Year

Number of Person Months: Summer

NSF Dollar Amount

Matching Dollar Amount


Categories of Other Personnel are:

Post Doctoral Associates

Other Professionals

Graduate Students

Undergraduate Students

Secretarial/Clerical

Other staff


For Fringe Benefits provide:

NSF Dollar Amount

Matching Dollar Amount


For each Permanent Equipment provide:

Cost

NSF Dollar Amount

Matching Dollar Amount


Travel:

For Domestic Travel provide:

NSF Dollar Amount

Matching Dollar Amount


For Foreign Travel provide:

NSF Dollar Amount

Matching Dollar Amount


For each category of Participant Supplemental Costs provide:

Cost

Count


Participant Supplemental Categories are:

Stipends

Travel

Subsistence

Other


For Residual Funds provide:

NSF Dollar Amount

Matching Dollar Amount


(All other amounts shown on the budget screen are calculated by the system.)



X



LSAMP Alliance Budget-Text (summaries)


FY [yyyy] Budget Explanation (textbox)


FY [yyyy] Budget Explanation of Matching Funds (textbox)


FY [yyyy] Subcontractors and Amounts of Contracts (textbox)



X



For each Non-Academic Partner provide:

Name


Type of Partner (select one)

  • National Science Foundation

  • Institution

  • State of Local Government

  • Federal Agency

  • Federal Lab

  • Foreign Government

  • Corporation

  • Foundation and Other Non-Profit

  • Project Generated Other


Description



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.


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File TitleCommon
AuthorLarry Suter
Last Modified By21629
File Modified2011-01-08
File Created2010-08-31

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