Survey of Earned Doctorates

ATTACHMENT 1

COVER PAGE

Please print your name in full:

First Name Middle Name Last Name Suffix (e.g., Jr.)

Cross reference: Birth name or former name legally changed Today’s date

Name of Doctoral Institution City or Branch

Type of Research Doctorate Degree (e.g., Ph.D., Ed.D., etc.) Date Degree Granted

(mm/yyyy)

Survey of Earned Doctorates

July 1, 2011 to June 30, 2012

Conducted by

NORC at the University of Chicago

for

The National Science Foundation

The National Institutes of Health

The U.S. Department of Education

The U.S. Department of Agriculture

The National Endowment for the Humanities

The National Aeronautics and Space Administration

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 http://www.nsf.gov/statistics/doctorates/

OMB No.: 3145-0019

Approval Expires XX/XX/XXXX

PAGE 2

INSTRUCTIONS

Thank you for taking the time to complete this questionnaire. Directions are provided for each question.

• If you have not already done so, please print your name on the front cover.

• Please print all responses; you may use either a pen or pencil.

PART A - Education

A1. What is the title of your dissertation?

Please mark (X) this box if the title below refers to a performance, project report, or a 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 page 6, 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.

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

Number 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

A4. If you received full or partial tuition remission (waiver) for your doctoral studies, was it:

1 I did not receive any tuition remission

2 for less than 1/3 of tuition

3 between 1/3 and 2/3 of tuition

4 more than 2/3 of tuition but less than full

5 full tuition remission

A5. Which of the following were sources of financial support during graduate school?

Mark (X) Yes or No for each

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

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

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 b. Graduate

1 None 1 None

2 $10,000 or less 2 $10,000 or less

3 $10,001 - $20,000 3 $10,001 - $20,000

4 $20,001 - $30,000 4 $20,001 - $30,000

5 $30,001 - $40,000 5 $30,001 - $40,000

6 $40,001 - $50,000 6 $40,001 - $50,000

7 $50,001 - $60,000 7 $50,001 - $60,000

8 $60,001 - $70,000 8 $60,001 - $70,000

9 $70,001 - $80,000 9 $70,001 - $80,000

10 $80,001 - $90,000 10 $80,001 - $90,000

1 1 $90,001 or more 11 $90,001 or more

Please specify_________ Please specify________

PAGE 3

A8. The next few questions ask about the degrees you have received. Starting with this doctorate degree, please provide the following information for the most recent master’s degree and your first bachelor’s degree.

	This research doctorate degree		Most recent master’s degree (e.g. MS, MA, MBA) or equivalent		First bachelor's degree (e.g. BA, BS, AB) or equivalent
a. Have you received a degree of this type? . .	Yes X	No	Yes	No	Yes	No
b. Month/year degree granted…………….. . .	Month		Month		Month
	Year		Year		Year
c. Month/year that you started your degree….	Month		Month		Month
	Year		Year		Year
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 . . . . . . . . . . . . . . . . . . . . . . . . . . .	USA

A9. Excluding those above, have you attained any additional postsecondary degrees? …

Yes 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.

PAGE 4

A10. Was a master’s degree a prerequisite for admission to your doctoral program?

Yes 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 or research, writing, and defense)?

Years __________

Round to whole years

A13. Was there any time from 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)?

Yes No

 If yes, please provide the number of years ______

Round to whole years.

A14. Did you earn college credit from a community or two-year college?

Yes No

A15. Are you earning, or have you earned, an MD or a DDS?

Have earned? Are earning?

MD Yes No Yes No

DDS Yes No Yes No

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. 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, or government or a non-profit institution.)

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

GO TO B4, pg 4

3 Negotiating with one or more specific organizations

4 Seeking position but have no specific prospects

5 Other full-time degree program (e.g., MD, DDS, JD, MBA, etc.)

6 Do not plan to work or study (e.g., family commitments, etc.)

7 Other - Specify

SKIP TO C1, pg 10

B4. What best describes your post-graduation plans (within the next year)?

Mark (X) one

1 “Postdoc” or further training GO TO B4a

2 Employment 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

4 Internship, clinical residency

5 Other - Specify

GO TO B5, pg 9

B4b. What best describes the nature of your employment?

Mark (X) one

1 Employment (other than military service)

2 Military service

3 Other Employment - Specify

SKIP to B6, pg 9

PAGE 5

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 described the name of your field.

PAGE 6

Business Management/Administration 900 Accounting 910 Business Administration & Management 915 Business/Managerial Economics 901 Finance 921 Human Resources Development 912 Hospitality,Food Service&Tourism Management	916 International Business/Trade/Commerce 920 Marketing Management & Research 917 Management Information Systems/Business Statistics 930 Operations Research (also in ENGINEERING & in MATHEMATICS)	935 Organizational Behavior (see also PSYCHOLOGY/Industrial & Organizational) 938 Business Management/Administration, General 939 Business Management/Administration, Other
Communication
940 Communication Research 957 Communication Theory	950 Film, Radio, TV & Digital Communication 947 Mass Communication/Media Studies	958 Communication, General 959 Communication, Other
Computer & Information sciences
400 Computer Science	410 Information Science & Systems 415 Robotics	419 Computer & Information Science, Other
Education Research & Administration
840 Counseling Education/Counseling & Guidance 800 Curriculum & Instruction 805 Educational Administration & Supervision 820 Educational Assessment/Testing/Measurement 806 Education & Human Resource Studies/Development	810 Educational/Instructional Media Design 812 Educational/Instructional Technology 807 Educational Leadership 822 Educational Psychology (also in PSYCHOLOGY) 808 Educational Policy Analysis 815 Educational Statistics/Research Methods	845 Higher Education/Evaluation & Research 833 International Education 825 School Psychology (also in PSYCHOLOGY) 830 Social/Philosophical Foundations of Education 835 Special Education 806 Urban Education and Leadership
Teacher Education
858 Adult & Continuing Teacher Education 852 Elementary Teacher Education	850 Pre-elementary/Early Childhood Teacher Education	856 Secondary Teacher Education
Teaching Fields
860 Agricultural Education 861 Art Education 865 Bilingual & Multilingual Education 864 English Education 870 Family & Consumer/Human Science (also in Fields Not Elsewhere Classified)	866 Foreign Languages Education 868 Health Education 882 Literacy & Reading Education 874 Mathematics Education 876 Music Education 878 Nursing Education	880 Physical Education & Coaching 884 Science Education 885 Social Science Education 889 Teacher Education & Professional Development
Other Education
898 Education, General	899 Education, Other
Engineering
300 Aerospace, Aeronautical & Astronautical Engineering 303 Agricultural Engineering 306 Bioengineering & Biomedical Engineering 309 Ceramic Sciences Engineering 312 Chemical Engineering 315 Civil Engineering 318 Communications Engineering 321 Computer Engineering 324 Electrical, Electronics & Communications Engineering	376 Engineering Management & Administration 327 Engineering Mechanics 330 Engineering Physics 333 Engineering Science 336 Environmental/Environmental Health Engineering 337 Geotechnical & Geoenvironmental Engineering 339 Industrial & Manufacturing Engineering 342 Materials Science Engineering 345 Mechanical Engineering 348 Metallurgical Engineering 351 Mining & Mineral Engineering	357 Nuclear Engineering 360 Ocean Engineering 363 Operations Research (also in MATHEMATICS & in BUSINESS MANAGEMENT) 366 Petroleum Engineering 369 Polymer & Plastics Engineering 316 Structural Engineering 372 Systems Engineering 373 Transportation & Highway Engineering 398 Engineering, General 399 Engineering, Other
Humanities History
706 African History 700 American History (U.S. & Canada) 703 Asian History	705 European History 710 History, Science & Technology & Society 707 Latin American History	708 Middle/Near East Studies 718 History, General 719 History, Other
Foreign Languages & Literature
768 Arabic 758 Chinese 740 French	743 German 746 Italian 762 Japanese 750 Latin American	752 Russian 749 Spanish 769 Other Languages & Literature
Letters
732 American Literature (U.S. & Canada) 720 Classics 723 Comparative Literature 735 Creative Writing	734 English Language 733 English Literature (British & Commonwealth) 724 Folklore 737 Rhetoric & Composition	736 Speech & Rhetorical Studies 738 Letters, General 739 Letters, Other
Other Humanities
770 American/U.S. Studies 773 Archaeology 776 Art History/Criticism/Conservation 792 Bible/Biblical Studies 795 Drama/Theater Arts 784 Ethics	778 Film/Cinema/Video Studies 777 Jewish/Judaic Studies & History 780 Music 786 Music Theory & Composition 787 Music Performance	788 Musicology/Ethnomusicology 789 Music, Other 785 Philosophy 790 Religion/Religious Studies 798 Humanities, General 799 Humanities, Other

PAGE 7

Life sciences Agricultural Sciences/Natural Resources
005 Agricultural Animal Breeding 000 Agricultural Economics 025 Agricultural & Horticultural Plant Breeding 020 Agronomy & Crop Science 010 Animal Nutrition 014 Animal Science, Poultry (or Avian) 019 Animal Science, Other 081 Environmental Science 055 Fishing & Fisheries Sciences/Management	043 Food Science 044 Food Science & Technology, Other 066 Forest Sciences & Biology 070 Forest/Resources Management 079 Forestry & Related Science, Other 050 Horticulture Science 074 Natural Resources/Conservation 003 Natural Resource/Environmental Economics (also in SOCIAL SCIENCES)	030 Plant Pathology/Phytopathology (also in BIOLOGICAL SCIENCES) 039 Plant Sciences, Other 046 Soil Chemistry/Microbiology 049 Soil Sciences, Other 080 Wildlife/Range Management 072 Wood Science & Pulp/Paper Technology 098 Agriculture, General 099 Agricultural Science, Other

Biological/Biomedical Sciences
130 Anatomy 110 Bacteriology 100 Biochemistry (see also PHYSICAL SCIENCES/ Chemistry, other) 102 Bioinformatics 103 Biomedical Sciences 133 Biometrics & Biostatistics 105 Biophysics (also in PHYSICS) 107 Biotechnology 129 Botany/Plant Biology 158 Cancer Biology 136 Cell/Cellular Biology & Histology 104 Computational Biology	142 Developmental Biology/Embryology 139 Ecology 145 Endocrinology 148 Entomology 167 Environmental Toxicology 137 Evolutionary Biology 170 Genetics/Genomics, Human & Animal 151 Immunology 152 Marine Biology & Biological Oceanography 157 Microbiology 154 Molecular Biology 160 Neurosciences & Neurobiology 163 Nutrition Sciences 166 Parasitology	175 Pathology, Human & Animal 180 Pharmacology, Human & Animal 185 Physiology, Human & Animal 115 Plant Genetics 120 Plant Pathology/Phytopathology (also in AGRICULTURAL SCIENCES) 125 Plant Physiology 155 Structural Biology 169 Toxicology 168 Virology 189 Zoology, Other 198 Biology/Biomedical Sciences, General 199 Biology/Biomedical Sciences, Other
Health Sciences
210 Environmental Health 220 Epidemiology 227 Gerontology (also in SOCIAL SCIENCES) 217 Health Policy Analysis 212 Health Systems/Service Administration	222 Kinesiology/Exercise Physiology 240 Medicinal/Pharmaceutical Sciences 230 Nursing Science 207 Oral Biology/Oral Pathology 215 Public Health	245 Rehabilitation/Therapeutic Services 200 Speech-Language Pathology & Audiology 250 Veterinary Sciences 298 Health Sciences, General 299 Health Sciences, Other
Mathematics
425 Algebra 430 Analysis & Functional Analysis 420 Applied Mathematics 460 Computing Theory & Practice 435 Geometry/Geometric Analysis	440 Logic 445 Number Theory 465 Operations Research (also in ENGINEERING & in BUSINESS MANAGEMENT/ADMIN.)	450 Statistics (also in SOCIAL SCIENCES) 455 Topology/Foundations 498 Mathematics/Statistics, General 499 Mathematics/Statistics, Other
Physical sciences Astronomy
500 Astronomy	505 Astrophysics	509 Astronomy, Other
Atmospheric Science & Meteorology
510 Atmospheric Chemistry & Climatology 512 Atmospheric Physics & Dynamics	514 Meteorology 518 Atmospheric Science/Meteorology, General	519 Atmospheric Science/Meteorology, Other
Chemistry
520 Analytical Chemistry 522 Inorganic Chemistry 526 Organic Chemistry	530 Physical Chemistry 532 Polymer Chemistry 534 Theoretical Chemistry	538 Chemistry, General 539 Chemistry, Other (see also BIOLOGICAL/ Biochemistry)
Geological & Earth Sciences
542 Geochemistry 540 Geology 552 Geomorphology & Glacial Geology	544 Geophysics & Seismology 548 Mineralogy & Petrology 546 Paleontology	550 Stratigraphy & Sedimentation 558 Geological & Earth Sciences, General 559 Geological & Earth Sciences, Other
Ocean/Marine Sciences
585 Hydrology & Water Resources 590 Oceanography, Chemical & Physical	595 Marine Sciences 599 Ocean/Marine, Other
Physics
560 Acoustics 576 Applied Physics 561 Atomic/Molecular/Chemical Physics 565 Biophysics (also in BIOLOGICAL SCIENCES)	574 Condensed Matter/Low Temperature Physics 577 Medical Physics/Radiological Science 568 Nuclear Physics 569 Optics/Phototonics 564 Particle (Elementary) Physics	570 Plasma/Fusion Physics 572 Polymer Physics 578 Physics, General 579 Physics, Other
Psychology
602 Behavioral Analysis 600 Clinical Psychology 603 Cognitive Psychology & Psycholinguistics 609 Counseling 612 Developmental & Child Psychology 618 Educational Psychology (also in EDUCATION)	615 Experimental Psychology 620 Family Psychology 614 Health & Medical Psychology 613 Human Development & Family Studies 621 Industrial & Organizational (see also BUSINESS MANAGEMENT/Organization. Behavior) 627 Neuropsychology/Physiological Psychology	624 Personality Psychology 633 Psychometrics & Quantitative Psychology 636 School Psychology (also in EDUCATION) 639 Social Psychology 648 Psychology, General 649 Psychology, Other
Social sciences
650 Anthropology 652 Area /Ethnic/Cultural/Gender Studies 657 Criminal Justice & Corrections 658 Criminology 662 Demography/Population Studies 668 Econometrics 667 Economics	670 Geography 684 Gerontology (also in HEALTH SCIENCES) 674 International Relations/Affairs 676 Linguistics 665 Natural Resource/Environmental Economics (also in AGRICULTURAL SCIENCES) 678 Political Science & Government	682 Public Policy Analysis 686 Sociology 690 Statistics (also in MATHEMATICS) 694 Urban Affairs/Studies 695 Urban/City, Community & Regional Planning 698 Social Sciences, General 699 Social Sciences, Other
Fields Not Elsewhere Classified (NEC)
960 Architecture/Environmental Design 964 Family/Consumer Science/Human Science (also in EDUCATION) 968 Law	972 Library Science 974 Parks/Sports/Rec./Leisure/Fitness 976 Public Administration 980 Social Work	984 Theology/Religious Education (see also OTHER HUMANITIES/Religion/Religious Studies, Ethics) 989 Other Fields, NEC

PAGE 8

Back cover of FOS list

PAGE 9

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 U.S. government

2 Industry/business

3 College or university

4 Private foundation

5 Nonprofit, other than private foundation or college

6 Foreign government

7 Other - Specify

8 Unknown

B6. What type of principal employer will you be working for (or training with) in the next year?

Mark (X) one

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 education institution)

7. Foreign government

8. U.S. federal government

9. U.S. state government

10. U.S. local government

PRIVATE SECTOR (other than education institution)

11. Not for profit organization

12. Industry or business (for profit)

OTHER

13. Self-employed

14. Other - Specify

B7. Please name the organization and geographic location where you will work or study.

Organization _______________

State or territory (if U.S.) _______________

OR

Country (if not U.S.) _______________

Is this a college or a university? Yes 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 of research. If you are not salaried, please estimate your earned income.

$____________________________

If you prefer not to report an exact amount, please indicate into which range you expect your salary to fall:

1 $30,000 or less 7 $70,001 - $80,000

2 $30,001 - $35,000 8 $80,001 - $90,000

3 $35,001 - $40,000 9 $90,001 - $100,000

4 $40,001 - $50,000 10 $100,001 - $110,000

5 $50,001 - $60,000 11 $110,001 or more

6 $60,001 - $70,000 12 Don’t know

B9. How many months does this salary cover?

Number of months _________

B10. What will be your primary and secondary work activities?

Mark (X) one in each column

a. Primary b. Secondary

Research and development 1 1

Teaching 2 2

Management or administration 3 3

Professional services to individuals 4 4

Other - Specify 5 5

Mark (X) if no secondary work activities.

PAGE 10

PART C - Background Information

C1. Are you –

1 Male

2 Female

C2. What is your marital status?

Mark (X) one

1 Married

2 Living in a marriage-like relationship

3 Widowed

4 Separated

5 Divorced

6 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?

Write in Number

5 years of age or younger ____

6 to 18 years ____

19 years or older ____

Mark (x) box if none 

C4. What is the highest educational attainment of your mother and father?

Mark (X) one for each parent

a. Mother b. Father

Less than high/secondary school graduate 1 1

High/secondary school graduate 2 2

Some college 3 3

Bachelor's degree 4 4

Master's degree 5 5

(e.g., MA, MS, MBA, MSW, etc.)

Professional degree 6 6

(e.g., MD, DDS, JD, D.Min, Psy.D., etc.)

Research doctoral degree 7 7

Not applicable/Unknown 8 8

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 19

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 or Latino?

Mark (X) one

1. No, I am not Hispanic or Latino

2. Yes, I am Mexican or Chicano

3. Yes, I am Puerto Rican

4. Yes, I am Cuban

5. Yes, I am Other Hispanic or Latino – Specify____________________

C11. What is your racial background?

Mark (X) one or more

a. American Indian or Alaska Native

Specify tribal affiliation(s)

b. Native Hawaiian or other Pacific Islander

c. Asian

d. Black or African-American

e. White

C12. Please fill in the last four digits of your Social Security Number.

XXX – XX - ___ ___ ___ ___

PAGE 11

C13. 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 for each item. None Slight Moderate Severe Unable to do

1 SEEING words or letters in ordinary 1 2 3 4 5

newsprint (with glasses/contact lenses,

if you usually wear them)

2 HEARING what is normally said in 1 2 3 4 5

conversation with another person (with

hearing aid, if you usually wear one)

3 WALKING without human or mechanical 1 2 3 4 5

assistance or using stairs

4 LIFTING or carrying something as heavy 1 2 3 4 5

as 10 pounds, such as a bag of groceries

5 CONCENTRATING, REMEMBERING, 1 2 3 4 5

or MAKING DECISIONS because of a

physical, mental, or emotional condition

C 14. Mark this box if you answered ―None to all the activities in question C10, and go to question C13.

C15. What is the earliest age at which you first began experiencing any difficulties in any of these areas?

Age _____ OR Since birth

C16. In case we need to clarify some of the information you have provided, please list your current address, an e-mail address and telephone number where you can be reached.

Your current street address:

City State Country Zip or Postal Code

E-mail address

Daytime or cell telephone

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

Phone Number (Including area or country code)

E-mail address

Thank you for completing the 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 http://www.norc.uchicago.edu/sed

Please return this questionnaire to your GRADUATE SCHOOL for forwarding to 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 the survey, you may contact us by e-mail at [email protected] or phone at 1-800-248-8649.

For more information about the SED, go to www.nsf.gov/statistics/doctorates/

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!

This is an important accomplishment for you. Your accomplishment is also 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 are important in improving graduate education both at your home institution and beyond. Often, decisions made by governmental and private agencies to develop new programs, or to support present ones, are based in part on the data developed from this survey. If you have any comments about the survey, please provide them in the space below.

ADDITIONS TO QUESTIONS

A9. (continued from page 3)

Third Additional Degree

Degree type _____________________

Degree field _____________________

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 _____________________

On behalf of the sponsoring Federal agencies, I thank you for your participation in this survey.

Best wishes,

Dr. Lynda T. Carlson

National Science Foundation

Comments about the Survey

OFFICE USE ONLY

Case ID Instit. Code: Grad Date: Main Disp.:

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