LSAMP BD Monitoring System Crosswalk

APPENDIX B

LSAMP BD Monitoring System Crosswalk

DATA ELEMENTS OF THE LOUIS STOLES ALLIANCES FOR MINORITY PARTICIPATION BRIDGE TO THE DOCTORATE MONITORING SYSTEM (LSAMP BD)

New Items	Common Collection Categories Question	Staff and Project Participant Characteristics1	Project Implementation Characteristics2	Project Outputs3
	BASELINE DATA
	Student Name (First, MI, Last)	X
	Previous Name (BD students only)	X
	LSAMP Institution the student was enrolled in (BD students only)	X
	Bachelor’s Degree-awarding Institution (peer comparison students only)	X
	LSAMP Alliance (to which the above LSAMP institution belongs) (BD students only)	X
	Social Security Number (not required)	X
	Student ID at the Institution (requested/optional)	X
	Gender Male Female Not reported	X
	Ethnicity Not Hispanic or Latino Hispanic or Latino Not reported	X
	Race (choose one or more) American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Not reported	X
	Disability (choose one or more) Hearing impairment Mobility or orthopedic impairment Visual impairment Other (please specify) None Not reported	X
	Citizenship—choose one: U.S. Citizen/U.S. National U.S. Permanent Resident/Green Card holder Other (please specify)	X
X	Date of bachelor's degree Month Year	X
	Undergraduate Major (choose one or more) Agricultural Science Chemistry Computer Science Engineering Environmental Science Geosciences Life/Biological Sciences Mathematics Physics/Astronomy Other (please specify)	X
	Undergraduate GPA	X
	Undergraduate GPA Scale 4 point scale 5 point scale	X
	LSAMP Level I or II Status: (BD students only)
	GRE Scores Verbal Reasoning Quantitative Reasoning Analytical Writing	X
	Research experience during the undergraduate program-choose one Yes No	X
	GRE Scores Verbal Reasoning Quantitative Reasoning Analytical Writing Please mark the checkbox if this student did not take the GRE	X
	Date entered the STEM Graduate Program Month Year	X
	Date began receiving BD funding (BD students only) Month Year	X
	Date entered current graduate program (peer comparison students only) Month Year	X
	Did this student complete any graduate work before receiving LSAMP BD funding (BD students only) Yes No	X
	Did this student complete any graduate work before entering the current program (peer comparison students only) Yes No	X
	Broad Field Area
	Field
	Degree —Choose Degree No specific degree or certificate Post baccalaureate Certificate Masters (including MBA) Post Masters Certificate Doctorate (Ph.D., D.S.C., D.Sc., Ed.D.) Other professional degree (J.D., L.L.B., Th.D., M.D, DDS. etc.) Other (please specify)	X
	Date degree awarded Month Year	X
	If no prior graduate degrees please provide the number of graduate credits completed prior to receiving LSAMP BD funding (BD students only)	X
	If no prior graduate degrees please provide the number of graduate credits completed prior to entering the current graduate program (peer comparison students only)	X
	Teaching assistantship awarded prior to receiving LSAMP BD funding (BD students only) Yes No	X
	Teaching assistantship awarded prior to entering the current graduate program (peer comparison students only) Yes No	X
	Research assistantship awarded prior to receiving LSAMP BD funding (BD students only) Yes No	X
	Research assistantship awarded prior to entering the current graduate program (peer comparison students only) Yes No	X
	ANNUAL DATA
X	As an undergraduate, did this student participate in LSAMP activities (peer comparison students only) Yes No
X	LSAMP Level I or II Status (peer comparison students only)
	Graduate Program	X
	Intended Broad Major Area	X
	Intended Major	X
	Intended Degree (choose one or more) No specific degree or certificate Post baccalaureate Certificate Masters (including MBA) Post Masters Certificate Doctorate (Ph.D., D.S.C., D.Sc., Ed.D.) Other professional degree (J.D., L.L.B., Th.D., M.D, D.D.S., etc.) Other (please specify)	X
	From which of these sources did this student receive financial support during the current reporting period (BD students only) NSF LSAMP BD Fellowship Yes/No Amount NSF other grant/fellow Yes/No Program Name Amount Institution attending Yes/No Type of support Government (federal/state/local) Yes/No Type of support Private funding Yes/No Type of support Other sources (please specify) Yes/No Amount No financial support received	X
X	From which of these sources did this student receive financial support during the current reporting period (peer comparison students only) NSF grant/fellow Yes/No Program Name Other sources (please specify) Yes/No No financial support received	X
X	From which of these sources did this student receive financial support to pursue graduate studies (i.e., participate in the graduate program listed in the baseline data form) at your institution at any time BEFORE this reporting period (peer comparison students only) NSF grant/fellow Yes/No Program Name Other sources (please specify) Yes/No No financial support received	X
	LSAMP-BD Disbursement Method —choose one (BD students only) Monthly Quarterly By Semester Yearly	X
	Is the LSAMP-BD stipend or payment based on academic performance —choose one (BD students only) Yes No	X
	Did the LSAMP BD funding end for this student during the current Reporting period—choose one: (BD students only) Yes No If yes, please provide the date funding ended: Month Year	X
	Number of graduate courses credits completed during the current reporting period			X
	Teaching assistantship awarded during the current reporting period Yes No Not Applicable			X
	Research Assistantship awarded during the current reporting period Yes No Not Applicable			X
	Year entered Ph.D. track - (completed 2 years of graduate coursework, equivalent to MA or MS and entered 3rd year of graduate coursework, i.e. post MS and into Ph.D. track): Year: Not entered to Ph.D. track			X
X	Thesis Proposal - Date Approved: Month Year Not applicable; thesis proposal is not required			X
	Master’s Degree - Date Awarded: Month Year			X
	Ph.D. Qualifying Examinations - Date passed: Month Year			X
	Ph.D. Candidacy - Date attained: Month Year			X
	Dissertation Defense - Date passed: Month Year			X
	Doctoral Dissertation - Date Approved: Month Year			X
	Doctoral Degree - Date Awarded: Month Year			X
	Doctoral Dissertation Abstract			X
	Did the student receive post-LSAMP BD funding to continue graduate studies during the current reporting period (BD students only)—choose one: Yes No If yes, please provide funding source —choose one: Institution attending Government fellowship: federal/state/local Private fellowship		X
	Did the student leave without completing the program during the current reporting period: Yes No		X
	If yes, please provide the date the student left the program: Month Year		X
	If he or she left, was it to continue Ph.D. elsewhere? Yes No Don’t know		X
	If he or she left to continue Ph.D. elsewhere, please provide the transfer date: Month Year		X
	Transfer institution name:		X
X	Graduate program at transfer institution:		X
X	Intended broad major area at transfer institution:		X
X	Intended major at transfer institution:		X
X	Intended degree at transfer institution: No specific degree or certificate Post baccalaureate Certificate Masters (including MBA) Post Masters Certificate Doctorate (Ph.D., D.S.C., D.Sc., Ed.D.) Other professional degree (J.D., L.L.B., Th.D., M.D, DDS. etc.) Other (please specify)		X
X	Current status at transfer institution: Not yet graduated, but pursuing a doctorate Graduated with a doctorate Date graduated from transfer institution: Month Year Dropped out Date dropped out from transfer institution: Month Year Other (please specify)		X
X	If the student transferred, how were the responses to the transfer questions obtained?(choose one) Institutional Records Telephone Interviews Exit Interviews Web surveys Email Paper surveys Other (please specify)		X
	Please provide the permanent contact information for this student. Student’s email address Student’s personal email address Address City State Zip Code Country Phone Ext.	X
	Name and address (U.S. postal and e-mail) of a person likely to know how to reach this student after he or she graduates Name Relationship to this student Email address Address City State Zip Code Country Phone Ext.	X
	FOLLOWUP DATA
X	You indicated that you left the BD program. Did you return to complete your graduate studies? (BD students only) Yes No		X
X	You indicated that you left the institution. Did you return to complete your graduate studies? (peer comparison students only) Yes No		X
X	When did you return to continue your graduate studies? Month Year		X
X	If you returned to continue your graduate studies, in which program did you enroll? (choose one or more) Post baccalaureate Certificate Masters (including MBA) Post Masters Certificate Doctorate (Ph.D., D.S.C., D.Sc., Ed.D.) Other professional degree (J.D., L.L.B., Th.D., M.D, D.D.S., etc.) Other (please specify)		X
X	Graduate program		X
X	Intended broad major area		X
X	Intended major		X
X	Did you return to [student’s original institution name]? Yes No		X
X	If No, please provide the name of the institution in which you enrolled:		X
X	Please mark the checkbox if no followup data are available for this individual	X
X	Did you receive financial support for your M.S./Ph.D. from the following sources? (BD students only) NSF LSAMP BD Fellowship Yes/No Amount NSF other grant/fellow Yes/No Program Name Amount Institution attending Yes/No Type of support Government (federal/state/local) Yes/No Type of support Private funding Yes/No Type of support Other sources (please specify) Yes/No Amount No financial support received	X
	Have you received a post doctorate appointment —choose one Yes No If yes, please complete the following items Date: Month Year Institution Department Field			X
	Are you currently employed —choose one Yes No			X
	When did you begin this job? Month Year			X
	Is this job full-time —choose one Yes No			X
	Which of the following categories best describes your employer for this job? (choose one or more) A private, for-profit company, business or individual, paying your wages, salary or commissions A Private not-for-profit, tax-exempt or charitable organization Self-employment in own not Incorporated business, professional practice, or farm Self-employment in own incorporated business, professional practice, or farm Local government (e.g., city, county) State government U.S. military service, active duty, or commissioned corps (e.g., USPHS, NOAA) U.S. Government as a civilian employee Other (please specify)			X
	Regarding your employer's main business (i.e., what the employer makes or does), please indicate the single category that best fits the employer's main business. If the employer has more than one type of business, please answer for the type of work primarily performed at the location where you work. Agriculture, forestry or fishing Biotechnology Construction or mining Education Finance, insurance, or real estate services Health services Information technology or computer services Other services (e.g., social, legal, business) Manufacturing Public administration/government Research (please specify) Transportation services, utilities, or communications Wholesale or retail trade Other (please specify)			X
	Position/Job Title (Broad category)			X
	Position/Job Title (Specific category)			X
	Is job STEM related —choose one Closely related Somewhat related Not related			X
	Is your employer an educational institution —choose one Yes No			X
	Type of Educational Institution—choose one Preschool, elementary, or middle school system Secondary school system Two-year college, community college, technical institute Four-year college or university, other than a medical school Medical school (including university-affiliated hospital or medical center University-affiliated research institute Other (please specify)			X
	What is your faculty rank—choose one Professor Associate professor Assistant professor Instructor Lecturer Adjunct Faculty Other (please specify) Not applicable at the institution Not applicable for my position			X
	What is your tenure status—choose one Tenured On tenure track but not tenured Not on tenure track Not applicable: no tenure system at this institution Not applicable: no tenure system for my position			X
X	How were the responses to the questions on this survey obtained —please choose one Institutional Records Telephone Interviews Exit Interviews Web surveys Email Paper surveys Other (please specify)		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, and research methods.

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

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