Changes to the SED 2012 Questionnaire from the SED 2011 Questionnaire

Att1_2012_quex_v3_May_25.docx

Survey of Earned Doctorates

Changes to the SED 2012 Questionnaire from the SED 2011 Questionnaire

OMB: 3145-0019

Document [docx]
Download: docx | pdf

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

1Shape2 Shape1 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


CShape3 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?

Shape4 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.:

PROCESSING

Receipt Editing CADE

Initials Date Initials Date Initials Date


Ver. Adjust Retrieval Updates

Initials Date Initials Date Initials Date


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleCOVER PAGE
Authorpc-user
File Modified0000-00-00
File Created2021-02-01

© 2024 OMB.report | Privacy Policy