Institutional Contacts

[Type text]

From:

(Name of Institution) (Division)

(City and State)

To: Survey of Earned Doctorates, National Science Foundation

c/o RTI International

Attn: Data Capture—021577

5265 Capital Boulevard, Raleigh, NC 27690-1653

The enclosed doctorate survey questionnaires represent doctoral graduates for the following date:

Graduation (or Conferral) Date:

Total number of doctoral degrees awarded on this date

Total number of questionnaires enclosed herewith

Total missing (if any)

Following are the graduates whose survey forms are missing or were completed by the graduate office because the students themselves were not available:

Name: Name:

Address: Address:

Phone: _______________________________________ Phone:

E-mail: E-mail:

Name: Name:

Address: Address:

The enclosed questionnaires represent people who have completed all requirements for the doctoral degree at this institution on the graduation date stated above.

Name of Institution Contact (Print) Signature

Title Date

This form is part of the administration of the Survey of Earned Doctorates (SED), conducted by the National Science Foundation (NSF). This information is solicited under the authority of the National Science Foundation Act of 1950, as amended. All information provided will be used for research or statistical purposes only and is protected under the NSF Act and the Privacy Act of 1974. Response is voluntary and failure to provide some or all of the information will not adversely affect your institution. The time needed to complete this form varies according to institution circumstances. It is estimated that all SED activities require no more than 20 hours of an Institutional Coordinator’s time per year. Response burden comments should be directed to the National Science Foundation, 4201 Wilson Blvd. Suite 295, Arlington, VA 22230, Attn: NSF Reports Clearance Officer.

Form approved:  OMB No. 3145-0019, Expires <DATE>

OMB No.: 3145-0019

Approval Expires: 05/31/2018