Alumni update form

OMB Control No. 0648-0568 Expiration Date: 12/31/2013

NOAA Student Scholarship Programs
Voluntary Alumni Information UPDATES Sheet

Please indicate the scholarship received (Check all that applies):

-Graduate Sciences Program
-Nancy Foster Scholarship (Redirect to fosterscholars.noaa.gov)
-EPP Undergraduate Scholarship
-Hollings Undergraduate Scholarship
-Cooperative Science Center

General information:

-Last Name (while in program)

-First Name

-E-mail Address

-Program completion Date(s) (dropdown; mm/yyyy)

-Last name, if different from above

-Have you graduated? (Yes or No)
If yes, confirm graduation date(s).

-Optional (dropdown options from OMB List):
Gender (m/f)
Race
Ethnicity

Post educational information:

1. -Institution (dropdown options):

Name

State

Degree (Bachelors, Masters, Ph.D)

Degree Earned (Yes or No)

Field of Study

Area of Discipline (major)

2. -Institution (dropdown options):

Name

State

Degree (Bachelors, Masters, Ph.D)

Degree Earned (Yes or No)

Field of Study

Area of Discipline (major)

Current employment information:

-Occupation (dropdown options):
Student
Professional
Field of Work (dropdown options from NSF list):
Engineering
Atmospheric Science
Biology
etc.

Area of Work (dropdown option)
In NOAA related field
In other STEM field
Not in STEM
Not Employed
Are you seeking employment? (Yes or No)
If Yes (dropdown options):
In a NOAA related field
Other STEM
Not in STEM

-Industry sector (dropdown options):
NOAA
NOAA Contractor
Other Federal, State, Local, or Tribal Government
Foundation or other Non-Government Organization (NGO)
Academia
Private Industry
Other