Student Name:
Student Email
Address:
Form Completion Date:
Due Date: June 9, 2005 (All Survey
responses are confidential)
Entering New Participants
Only:
1. Gender:
2. Which research program are
you in:
3. Please check the item that
applies to you:
4. Have you
been in any other research program prior to your current placement?
(including either the MARC, Haumana or PRIDE programs)
5. Undergraduate Level:
6. Current Major:
6a. If
other, type in major:
6b. Planning
to declare as my major.
7. How did you find out about
the Haumana (both Full Year and Summer)/MARC/PRIDE program?
7a. If
other, type in the source:
8. Why did you apply for the
program?
9. Besides the Haumana/MARC
program, what other activities do you plan to participate in this year?
10. What do you expect to learn
during you first year in the Haumana or MARC research program?
11.
What has interested
you in science and how well prepared do you feel?
12.
When you entered
college, what major were you considering?
13.
What future careers
are you presently contemplating?
14. What three skills or
techniques would you like to be able to say you learned at the end
of your
program experience?
15. What experiences would you
like to be able to say you had when you leave the proram?
16. Please feel free to add my
additional thoughts or ideas.
Your responses will be sent directly to Nancy Deeley to
preserve complete confidentiality.
Mahalo!