NSF Scholars Survey
Page One
1.
What is your first name?
2.
What is your last name?
3.
What is your Age group?
Under 18
19
20
21
22-23
24-25
26-30
31-40
41 or above
4.
What is your Gender?
Male
Female
5.
Are you the first in your family to attend college?
Yes
No
6.
What is your Ethnicity/Race?
Asian, Asian American or Pacific Islander
Black or African American, Non-Hispanic
Hispanic, Latino, Spanish
White, Non-Hispanic
Other
7.
What is your Major?
Aerospace or Aeronautical Engineering
Biomedical/Bio Engineering
Chemical Engineering
Civil Enginering or Environmental Engineering
Computer Engineering
Electrical Engineering
Mechanical Engineering
Enginering (Other)
Biology or Biological Sciences
Chemistry
Computer Science
Geology/Geosciences
Mathematics
Physics/Astronomy
Other
8.
What year did you start college?
2005 or before
2006
2007
2008
2009
9.
Are you the first in your family to major in a STEM field?
Yes
No
10.
When do you expect to transfer to a four-year school?
Spring 2010
Fall 2010
Spring 2011
Fall 2011
Spring 2012
Fall 2012
11.
To which of the following four-year schools are you planning to apply to transfer? (You can select more than one.)
UC Berkeley
UC Davis
UC Santa Cruz
UC Merced
UCLA
UC (Other)
San Jose State University
San Francisco State University
Cal Poly, SLO
CSU, East Bay
CSU, Chico
CSU (Other)
Stanford University
University of San Francisco (USF)
Other
12.
How many units are you taking this semester?
Less than 12 units
12
13-14
15-16
17-18
19-20
21 or more
13.
Estimate the number of hours a week that you work (both on campus and outside campus).
zero
5 hours or less
6-10
11-15
16-20
21-30
31-40
more than 40 hours
14.
If you are currently working
on campus
(as a tutor on campus or in any of the high schools, or as a student assistant), estimate the number of ours that you work ON CAMPUS every week.
zero
less than 5
6-10
11-15
16-20
15.
If you are currently not working on campus, are you interested in working at Canada as a tutor, or as a student assitant?
-- Please Select --
Yes
No
Maybe
16.
Which of the following Conferences have you attended, or planning to attend this year?
Pre-Med Conference at UC Davis (Oct. 2nd-4th)
UC Berkeley Biology Majors Fair – Sept 11
PG&E Student Leadership Conference - Fri Oct 9-11th
Society of Women Engineers National Conference – Oct 14-18th 2009 Long Beach
SHPE National Conference, Washington, D.C., Oct 27-Nov 1st
MESA Student Leadership Conference , Happy Valley, Santa Cruz, April, 2010
17.
In which of the following Student Clubs/Professional Organizations are you currently involved (a member, or attended a meeting)?
SHPE
WISE (Women in Science and Engineering)
Robotics Club
Pre-Med Club
ASCC (Associated Students of Canada College)
Phi Theta Kappa
Other
18.
In which of the following Student Support Services Programs are you currently involved?
MESA
TRIO
EOPS
Tutorial Sevices (As a tutor)
Tutorial Sevices (As a tutee)
Other
19.
Are you interested in a Mentoring program that will help you find a mentor either on campus or off campus who is a professional in your field on interest?
Yes
No
Maybe
20.
Tell us how much you agree or disagree with the following statements:
The NSF Scholarship I am receiving has or will help me focus on my studies.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
21.
The NSF Scholarship I am receiving has or will help reduce the number of hours that I have to work this semester.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
22.
The NSF Scholarship I am receiving has or will help me be more involved in professional development opportunities offered by Canada.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
23.
If have received other scholarships in the last year, please indicate the Name of the Scholarship, and the Scholarship Amount.
24.
Please write about how the NSF Scholarship award you are receiving will help you achieve your academic goals.
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