Two-Year Evaluation

Dr. Nancy Foster Scholarship Program

Two-Year Evaluation

Program particpants' pre- or post-evaluations/exit interview

OMB: 0648-0432

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Dr.	Nancy	Foster	Scholarship	Program	Voluntary	Evaluation
General	Information

*	1.	General	Information	
First	Name:
Last	Name:
Last	Name	(if
different	from	above
while	in	the
program)

*	2.	What	is	your	gender?	(Optional)	
Female
Male
Prefer	not	to	answer

*	3.	What	is	your	ethnicity?	(Optional.	Please	select	all	that	apply.)	
Hispanic	or	Latino
Not	Hispanic	or	Latino
Prefer	not	to	answer

*	4.	What	is	your	race?	(Optional.	Please	select	all	that	apply.)	
American	Indian	or	Alaskan	Native
Asian	or	Pacific	Islander
Black	or	African	American
Hispanic	or	Latino
White	/	Caucasian
Prefer	not	to	answer

Dr.	Nancy	Foster	Scholarship	Program	Voluntary	Evaluation
Graduation	Details

*	5.	Have	you	graduated?	
Yes
No

*	6.	Graduation	Date(s)	
Format:	MM/YYYY	

7.	Institution	Name	

8.	Institution	State

*	9.	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	(please	specify)

Dr.	Nancy	Foster	Scholarship	Program	Voluntary	Evaluation
Post	Educational	Information

*	10.	Degree	obtained?	
Masters
Ph.D.
Other:	please	specify

*	11.	If	you	are	a	Masters	student,	will	you	be	pursuing	a	Doctoral	degree?	
Yes
No
I	don't	know

*	12.	Are	you	a	first	generation	college	student?	(For	example,	your	parents/guardians	have
not	completed	a	4-year	degree.)	
Yes
No

Dr.	Nancy	Foster	Scholarship	Program	Voluntary	Evaluation
Current	Employment	Information

*	13.	Which	of	the	following	best	describes	your	current	occupation?	
Student
Professional
Not	employed

14.	Are	you	planning	on	staying	within	the	field	of	your	degree	program?	
Yes
No
I	don't	know

Dr.	Nancy	Foster	Scholarship	Program	Voluntary	Evaluation
Professional

*	15.	Industry	Sector:	
NOAA	Federal	Employee
NOAA	Contractor
Other	Federal,	State,	Local	or	Tribal	Government
Foundation	or	other	Non-Government	Organization	(NGO)
Academia
Private	Industry
Self-employed
Other	(please	specify)

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

*	17.	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
None	of	the	above

*	18.	Area	of	Work
STEM	=	Science,	Technology,	Engineering	or	Mathematics	
In	a	NOAA	related	field
In	another	STEM	field
Not	in	a	STEM	field

Dr.	Nancy	Foster	Scholarship	Program	Voluntary	Evaluation
Seeking	Employment

*	19.	Are	you	seeking	employment?	
Yes
No

*	20.	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

Dr.	Nancy	Foster	Scholarship	Program	Voluntary	Evaluation
Feedback	on	Dr.	Nancy	Foster	Scholarship	Program

21.	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.	
Did	not	change	my
career	path.	(1)

It	substantially	changed
my	career	path.	(5)

22.	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	(1)

Excellent	(5)

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

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

	

Dr.	Nancy	Foster	Scholarship	Program	Voluntary	Evaluation
Thank	You

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.	
Please	click	on	the	"DONE"	button	below	to	submit	your	alumni	response	form.


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