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Appendix D: Sample Questionnaires
Pages 105-128

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From page 105...
... Program Questionnaire 3. Faculty Questionnaire 4.
From page 106...
... Institution covers premium costs for: Teaching assistants ~ Research assistants ~ All other full-time graduate students ~ Al] graduate students Institution covers partial premium costs for: Teaching assistants ~ Research assistants ~ All other full-time graduate students ~ All graduate students No institutional contribution for: ~ Teaching assistants ~ Research assistants ~ Other graduate students 3.
From page 107...
... ~ Yes ~ No 7. For the information displayed in the following table, please provide in a file sent by small to rdpilof~as~ed~ For the each doctoral program in science (including the social sciences)
From page 108...
... APPENDIX D Program #3 108 Program Research space NASF Shared space with other programs (Y/N) Program #1 Pro cram #2
From page 109...
... Program Faculty: For each faculty member or senior research fellow or associate who participates in your doctoral program by directing theses, serving on doctoral committees, or teaching graduate courses, please provide the following information. Name Rank Highest Gender Race/ US Citizen or Tenure E-mail l | Degree | (M or F)
From page 110...
... American Indian or Alaskan Native Asian or Pacific Islander Black White Hispanic Mexican American Puerto Rican Other Multiracial Unknown e. Percentage of doctoral students with master's degree Program Information 5.
From page 111...
... ~ Yes ~ No 9. What proportion of your full-time first-year doctoral students receive full support throughout their first year (tuition and an adequate living allowance provided as stipend or salary in program related work (TA or RA)
From page 112...
... are currently supported by: Externally funded fellowships: Externally funded traineeships: Externally funded research assistantships: University funded teaching assistantships: University funded research assistantships: University funded tuition waivers, fellowships, or stipends: 13. Averaged over the past three years, what are the average and minimum GRE scores for students accepted into the program?
From page 113...
... ~ Yes n No e. The program provides organized assistance to help doctoral students explore employment opportunities.
From page 114...
... If this is not the case, please indicate that in question 1. The assessment of research doctoral programs is conducted approximately every ten years and consists of a reputational survey of doctoral programs and the collection of data about doctoral faculty and students in f~fty-seven areas of study.
From page 115...
... Tenure status: ~ Tenure-track, not tenured Tenured ~ Non-tenure-track d. Year first employed at current institution: tIf employment was not continuous, please list year of most recent appointment at this institution.]
From page 116...
... National laboratory State or local government Federal government agency International agency 4-year college or university 2-year college K- 12 school Hospital or clinic Foundation or nonprofit Military Other (specify: State/Country Zip Codea. Highest degree earned: ~ Bachelor's ~ Master's ~ Ph.D.
From page 117...
... Please provide your preferred e-mai! address (where you can be reached if there are questions.)
From page 118...
... If this is not the case, please indicate that in question 1. The assessment of research doctoral programs is conducted approximately every ten years and consists of a reputational survey of doctoral programs and the collection of data about doctoral faculty and students in fifty-four areas of study.
From page 119...
... During your doctoral program have you received (or will you receive) instruction, practice or professional development training in: a.
From page 120...
... grading papers for undergraduate or graduate courses d. leading discussion sections of undergraduate or graduate courses e.
From page 121...
... American Indian or Alaskan Native Asian or Pacific Islander Black White Hispanic Mexican American, ~ Puerto Rican, ~ Other) ~ Multiracial E
From page 122...
... ~ Yes ~ No F Level of Parents' Education: Mother Father High school diploma or less Some college/Bachelor's degree Advanced degree
From page 123...
... If this is not the case, please indicate that in question 1. ~ 4, , I, The assessment of research doctoral programs is conducted approximately every ten years and consists of a reputational survey of doctoral programs and the collection of data about doctoral faculty and students in fifty-four areas of study.
From page 124...
... Employment Sector: Industry (for profit) National laboratory State or local government Federal government agency International agency University 4-year college 2-year college K-12 school Hospital or clinic Foundation or nonprofit Military Other (specify)
From page 125...
... National laboratory State or local government Federal government agency International agency University 4-year college 2-year college K-12 school Hospital or clinic Foundation or nonprofit Military ~ Other (specify)
From page 126...
... Citizenship APPENDIX D Male Female U.S. Permanent Resident Temporary Visa (mmlddlyy)
From page 127...
... citizen) American Indian or Alaskan Native Asian Pacific Islander Black White Hispanic (~ Mexican American, ~ Multiracial e.


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