McNair Alumni Questionnaire
1) Salutation
Dr.
Mr.
Ms.
Mrs.
2) Name
First Name
Last Name
Maiden Name, If Applicable
3) Address
Street Address
City, State
Zip Code
4) Phone Number
Cell Phone
Home Phone
Work Phone
5) Email Address
Primary Email
Secondary Email
6) What is the highest degree you have earned?
BA/BS
MA/MS
PhD
Other (please specify)
If you selected other, please specify:
7)
When did you earn this degree?
Format: YYYY-MM-DD
8) Are you currently enrolled in graduate school?
Yes
No
9) If you are currently enrolled:
Institution
Area of Study
Degree Pursuing
Expected Date of Completion
10) If you are not enrolled:
Please Explain Why
When were you most recently enrolled (either as a graduate or undergraduate student)?
11) Further Education
Do you plan to pursue further education?
In What Area?
When?
12) Employment
Are you currently working?
Place of employment:
Position Held:
13) Are you interested in speaking to current McNair Scholars about your experiences in graduate school?
Yes
No
Possibly
14) Would you like to receive information about graduate school funding, fellowships, and scholarships?
Yes
No
15) Would you like to receive the UB McNair Newsletter electronically?
Yes
No
16) Can we highlight your program enrollment or degree completion in our McNair Newsletter?
Yes
No
17)
Any Additional Comments or Updates You Would Like to Share?
Thank you for completing the questionnaire. Please keep in touch!
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