pre-and post eval and exit interview

OMB Control No. 0648-0432

Expiration Date: xx/xx/xxxx

Dr. Nancy Foster Scholarship Program

Exit Evaluation and Two-Year Voluntary Alumni Evaluation

This is a voluntary survey.

NOAA conducts the Dr. Nancy Foster Scholarship Program to encourage independent graduate level research—particularly by female and minority students. The reason for the collection of information is general program oversight, evaluation and performance assessment.

This Dr. Nancy Foster Scholarship Program evaluation gathers information about the pursuit and completion of degrees, employment and involvement in other programs related to your Dr. Nancy Foster Scholarship.

We thank you for your participation and feedback, as it will be of great help to NOAA. The data will be treated as confidential and will be reported only in statistical summaries so that individual members cannot be identified.

This reporting requirement is approved under the Paperwork Reduction Act of 1995, OMB Control No. 0648-0432. Notwithstanding any other provision of law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act, unless that collection displays a currently valid OMB Control Number. Public reporting burden for this collection of information is estimated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and reviewing the collection of information.

Send comments regarding this burden estimate or any other aspect of this collection, including suggestions for reducing this burden, to:

Dr. Nancy Foster Scholarship Program Manager
NOAA Office of National Marine Sanctuaries
1305 East-West Hwy. 11th floor
Silver Spring, MD 20910

1. General Information

First Name:

Last Name:

Last Name (if different from above while in the program)

Email:

2. What is your gender? (Optional)

Female

Male

Prefer not to answer

Optional. Please select all that apply if you choose to answer this question.)

3a. What is your ethnicity?

Hispanic or Latino

Not Hispanic or Latino

3b. What is your race?

American Indian or Alaskan Native

Asian or Pacific Islander

Black or African American

Hispanic or Latino

White/Caucasian

Prefer not to answer

4. Have you graduated?

Yes

No

5. Graduation Date

Format: MM/YYYY

6. Institution Name

Open-ended

7. Institution State

Drop-down selection

8. Area of Discipline

Business Management / Administration

Communication

Computer & Information Sciences

Education

Engineering

Humanities

Life Sciences – Agricultural Science / Natural Resources

Life Sciences – Biological / Biomedical Sciences

Life Sciences – Health Sciences

Mathematics

Physical Sciences – Astronomy

Physical Sciences – Atmospheric Science

Physical Sciences – Chemistry

Physical Sciences – Geological & Earth

Physical Sciences – Ocean / Marine

Physical Science – Physics

Psychology

Social Sciences

Other:

9. Degree Obtained

Bachelors

Masters

Ph.D.

Other: (please specify)

10. Are you a first generation college student? (For example, your parents/guardians have not completed a 4-year degree).

Yes

No

11. If you are a Masters student, will you be pursuing a Doctoral degree?

Yes

No

Don’t Know

12. Are you planning on staying within the field of your degree program?

Yes

No

I don’t know

13. Which of the following best describes your current occupation?

Student

Professional

Not employed

Skip Logic If answered ‘Professional’

14. Industry Sector

NOAA Federal Employee

NOAA Contractor

Other Federal, State, Local or Tribal Government

Foundation or other Non-Governmental Organization (NGO)

Academia

Private Industry

Self-Employed

Other (please specify)

15. Please provide the name of the organization you are/will be working for.

Open-ended question

16. Is your job working in any of the following fields?

Marine Biology

Maritime Archaeology

Oceanography

Other science, engineering or resource management of ocean and coastal areas

17. Area of Work

STEM: Science, Technology, Engineering or Mathematics

In a NOAA related field

In another STEM field

Not in a STEM field

Skip Logic Answered ‘Student’ or ‘Not Employed’

18. Are you seeking employment?

Yes

No

19. In what area of work are you seeking employment?

STEM: Science, Technology, Engineering or Mathematics

In a NOAA related field

In another STEM field

Not in a STEM field

 All

20. To what extent did participating in the Dr. Nancy Foster Scholarship program change your career path?

On a scale of 1-5, please rate how your career path changed as a result of participating in this program.

It did not change my career path  It substantially changed my career path.

21. What was your overall experience in participating in the Dr. Nancy Foster Scholarship Program?

On a scale of 1-5, please rate your experience with this program.

Poor  Excellent

22. Do you have any suggestions on how to improve the Dr. Nancy Foster Scholarship Program?

Open-ended

23. Please provide your current email address so we can follow-up with you about the voluntary Dr. Nancy Foster Scholar alumni network.

Email address

Privacy Act Statement

Authority: The collection of this information is authorized under 5 U.S.C. § 301, Departmental regulations, which authorizes the operations of an executive agency, including the creation, custodianship, maintenance and distribution of records.

Purpose: NOAA (the Dr. Nancy Foster Scholarship Program) collects this information for the purpose of program evaluation by participating students.

NOAA Routine Uses: NOAA will use this information to determine what improvements can be made to the program. Disclosure of this information is permitted under the Privacy Act of 1974 (5 U.S.C. Section 552a) to be shared among NOAA staff for work-related purposes. Disclosure of this information is also subject to all of the published routine uses as identified in the Privacy Act System of Records Notice Commerce/NOAA-14, Dr. Nancy Foster Scholarship Program; Office of Education, Educational Partnership Program (EPP); Ernest F. Hollings Undergraduate Scholarship Program and National Marine Fisheries Service Recruitment, Training, and Research Program.

Disclosure: Furnishing this information is voluntary; however, failure to participate may prevent the program from receiving helpful information.