UBMS Alumni Follow-up Questionnaire
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1. UBMS Alumni Follow-up Questionnaire
Your relationship with the Upward Math Science program did not end when you graduated from high school. Let's stay connected. We are required to report your progress to the Department of Education and would appreciate you completeing this questionnaire at the end of each school year (May or June). This will only take a few minutes of your time. Thank you.
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1
. Please complete the following:
Please complete the following:
Name:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
2
. Other Contact Information (please do not skip)
Other Contact Information (please do not skip)
Alternate/College:
Address:
City, State, Zip:
Your Cell Phone #
Parent's Home Phone#
Parent's Cell Phone#
College Phone #
Facebook Profile Name/URL:
Twitter URL:
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3
. Alumni Year (High School Graduating Year)
Alumni Year (High School Graduating Year)
4
. At the beginning of Academic year 2010-2011, what was your educational status [26]
At the beginning of Academic year 2010-2011, what was your educational status [26]
Enrolled in College
Prior to beginning of the academic year, left college without completing
Completed High School but have not yet enrolled into college
Enlisted into military
Work
Other
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5
. What is your Secondary Grade Level (HS) or Postsecondary Status (College) at the beginning of the academic year 2011-2012, what was your educational status? [27]
What is your Secondary Grade Level (HS) or Postsecondary Status (College) at the beginning of the academic year 2011-2012, what was your educational status? [27]
Enrolled in college
Other
Not applicable, not enrolled in high school or in a program of postsecondary education
Other (please specify)
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6
. If you are enrolled in college please enter the date of your first Postsecondary School Enrollment (first day of the semester/Tri-Semester/Quarter). If you are not enrolled into college please tell us why [45]
If you are enrolled in college please enter the date of your first Postsecondary School Enrollment (first day of the semester/Tri-Semester/Quarter). If you are not enrolled into college please tell us why [45]
Yes
No
Enrollment Date/Why not response
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7
. What college did you attend during school year 2010-2011[46]
What college did you attend during school year 2010-2011[46]
Not attending
Name of Institution (Click button then write your answer)
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8
. What was your financial aid award?
What was your financial aid award?
Pell Grant only
FFEL Loan
Direct Loan
College work study only
Institutional aid only
State Grant only
Pell Grant and FFEL Loan
Pell Grant and Direct Loan
Multiple federal aid
Multiple federal and other aid
Non-federal, non-institutional aid
No aid awarded
No aid needed
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9
. What is your Postsecondary Education (PSE,college) status at the beginning of Academic year 2011-2012? [47]
What is your Postsecondary Education (PSE,college) status at the beginning of Academic year 2011-2012? [47]
Accepted into Postsecondary Education (PSE) program but not yet enrolled
First yr. student in PSE following completion of high school
PSE student continuing beyond first year
Enrolled, completed college but continuing in PSE program
Not enrolled, completed PSE prior to beginning of academic year 2011-2012
Prior to beginning of academic year 2011-2012, left PSE program without completeing it.
Not applicable, completed High School but have not enrolled in a program of PSE
Other (Please specify and click button then write your answer)
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10
. What Undergraduate Degree/Certificate have you earned?[48]
What Undergraduate Degree/Certificate have you earned?[48]
Certificate/Diploma for occupational, educational program (less than two-year program)
Certificate/Diploma for occupational, technical, or educational program (at least two-year program
Associate Degree (two years)
Bachelor's Degree
Equivalent of Bachelor's Degree
Still enrolled in an undergraduate PSE program
Left a program of Postsecondary Education without completeing it.
Not applicable, completed high school but have not yet enrolled in a program of Postsecondary Education
Other (Please specify)
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11
. Date of Undergraduate Degree (format: MM/DD/CCYY e.g., 06/15/2010) [49]
Date of Undergraduate Degree (format: MM/DD/CCYY e.g., 06/15/2010) [49]
Click here and enter date below.
Not applicable, still enrolled in an undergraduate PSE program
Not applicable, left a program of Postsecondary Education without completing it
Not applicable, completed high school but have not yet enrolled in program of Postsecondary Education
Enter Date
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12
. Were you enrolled into a Postsecondary Education (PSE) program by fall of 2011(if you are not a 2011 Graduate please choose appropriate answer) [50]
Were you enrolled into a Postsecondary Education (PSE) program by fall of 2011(if you are not a 2011 Graduate please choose appropriate answer) [50]
2011 Graduate who enrolled in PSE by Fall of 2011
2011 Graduate who did not enroll in PSE by fall term 2011
Not applicable, graduated or was expected to graduate prior to 2011
13
. What is your Postsecondary Education (PSE) Persistence? [51]
What is your Postsecondary Education (PSE) Persistence? [51]
2010 Graduate who enrolled in PSE program in the Fall of 2010
2010 Graduate who did not enroll in PSE in the Fall of 2010
Not applicable, graduated from high school prior to 2010
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14
. Did you persist in a Postsecondary Education program durnig 2010-2011? [52]
Did you persist in a Postsecondary Education program durnig 2010-2011? [52]
2010 graduate who was enrolled in PSE program for the fall term of 2011
2010 graduate who was not enrolled in PSE program in fall term of 2011
Not applicable, not a 2010 graduate
15
. If you are a college graduate, please share your professional status with us. If you are currently attending college, let us know about your experiences. If you do not attend college or your've dropped out, we especially would like to hear from you. Perhaps we can help you get started again. Sometimes, all we need is a little help from our friends. We look forward to hearing from you soon. Please remember, the Department of Education require that we track your progress. Your support and time is greatly appreciated. Thank you.
If you are a college graduate, please share your professional status with us. If you are currently attending college, let us know about your experiences. If you do not attend college or your've dropped out, we especially would like to hear from you. Perhaps we can help you get started again. Sometimes, all we need is a little help from our friends. We look forward to hearing from you soon. Please remember, the Department of Education require that we track your progress. Your support and time is greatly appreciated. Thank you.
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