Graduate Survey

Personal Information
Your Name

E-mail Address

Program Year(s)


Current Address/Phone#

Permanent Address/Phone#

Graduate Information

What graduate degree have you received?

M.A. M.S. Ph.D. Ed.D.

Other (please specify)

What degree are you currently pursuing?:

M.A. M.S. Ph.D. Ed.D.

Other (please specify)

School

Field of Study

Graduation month/year

GPA

Honors/Awards/Publications
(please send us copies of any published work, including your thesis or dissertation)

What has been your greatest success as a graduate student?

What have been the greatest problems you have encountered as a graduate student?
Have these problems been resolved and if so, how?

If you are currently enrolled in a master's program, do you plan to pursue a doctorate (Ph.D. or Ed.D.)?
yes no N/A

If "yes," at which university do you plan to earn this degree?

If "no," why do you plan to stop at the master's level?

Is there any way in which the McNair Program can help you in your pursuit of a terminal degree? For example, should the McNair staff inform you of doctoral fellowship opportunities or does your current school provide necessary information and support?

Graduate School Fellowship/Grant Information:
If you are the recipient of a fellowship, research assistantship, teaching assistantship, or research grant, please specify the value of your financial package and comment briefly on its adequacy/inadequacy:

Employment Information If you are currently employed, please specify if you are working full- or part-time:


Please provide the name and location of your employer:

What is your job title?

If you have not already, do you intend to go to graduate school?
yes no

Any other information you'd like to provide, or questions you may have:

 


McNair Scholars Program
104 Elliott Hall
Newark, DE 19716
tel: (302) 831-4396 fax: (302) 831-0341
mpalacas@udel.edu