UNIVERSITY OF MARYLAND COLLEGE PARK
UNIVERSITY OF MARYLAND, COLLEGE PARK
Academic Achievement Programs
Ronald E. McNair Post-Baccalaureate Achievement Program
Alumni Survey
(You may complete an electronic version.)
Dear McNair Alum:
We want to know how you’re doing. Please take a few minutes to complete this survey. You may fax it to 301-314-7255. Please email (mcnairscholar@umd.edu) or call us (301-405-4749) if you have any questions. This form is also located at then follow link to McNair Program then to forms and documents.
PART 1: Contact Information
Name___________________________________ Email _________________________________
Best Address_________________________________________________________________________
Home Phone_________________________ Work___________________ Cell_____________________
Your UG institution: [ ] UM [ ] FSU [ ] UMES [ ] SMC Year entered McNair Program: ______________
PART 2: Academic Achievements
Month/Year Received Baccalaureate Degree: _____________ Institution: _______________________
Month/Year Received Master’s Degree: ___________________ Institution: _______________________
Month/Year Received Doctorate: ______________ Type of Doctorate: [] PhD [] JD [] MD [] Ed.D.
Institution where doctorate was received: ___________________________________________________
PART 3: Current Status
[] Post-Baccalaureate Program [] Master’s Student [] Doctoral Student [] Not Enrolled
Name of the university you currently attend:_________________________________________________
Are you a full-time student? _____ Yes _____ No _____ Not applicable
Employment status: _____ FT ____ PT ____ Not employed because of school ____ Not employed
PART 4: Impact of Services
Did services prepare you for graduate school? [] Yes [] Somewhat [] No
Did research experiences prepare you for graduate school? [] Yes [] Somewhat [] No
Your signature: __________________________________ Date: _______________________
Note: Please use your email as your signature if you plan to return this survey via email.
Thank you for taking the time to respond to this survey. Remember to inform the program of any achievements and developments in your life. Your success is not only important to the McNair Program but also to the nation. Good luck in your endeavors.
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