Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. CDP Certificate Registration (rev 092820) To register for the Rhode Island C-AIM Career Development Certificate, please fill in all the fields that are relevant to you as a student or post-doc. OK Question Title * 1. First name OK Question Title * 2. Last name OK Question Title * 3. Email address OK Question Title * 4. Institution/College/Department OK Question Title * 5. Degree program (If you are a post-doctoral fellow, write "post-doc") OK Question Title * 6. Lab affiliation, if any OK Question Title * 7. Rhode Island C-AIM membership: Are you now or have you ever been funded, fully or in part, by Rhode Island C-AIM? Are you now or have you ever conducted research under C-AIM-funded faculty? Yes No I'm not sure OK Question Title * 8. All students: Intended degree (BA, BS, MA, MS, PhD) and graduation date (month/year) OK Question Title * 9. Undergraduate students: Are you or have you ever been a SURF or SURF+ student? Yes No OK Question Title * 10. Undergraduate students: Intended area of study for graduate school OK Question Title * 11. Graduate students: We are collecting advisor information to distribute pre- and post-certificate surveys. These advisor surveys will be used to assess changes in their attitudes regarding professional development training. We recognize that some students may not wish to inform their advisors about these activities. May we contact your advisor regarding their attitudes about career development training? Yes No Comments OK Question Title * 12. Graduate students: Advisor's first name Advisor's last name Advisor's email address OK Question Title * 13. Post-doctoral Fellows: We are collecting supervisor information to distribute pre- and post-certificate surveys to supervisors. These supervisor surveys will be used to assess changes in their attitudes regarding professional development training. We recognize that some people may not wish to inform their supervisors about these activities. May we contact your advisor regarding their attitudes about career development training? Yes No Comments OK Question Title * 14. Post-doctoral Fellows: Supervisor's first name Supervisor's last name Supervisor's email address OK Question Title * 15. What is your gender? OK Question Title * 16. What is your race/ethnicity? Select all that apply. (Note: the options provided here reflect typical demographic reporting categories. Feel free to add details in the Other/Comments box.) American Indian or Alaska Native Asian or Asian American Black or African American Hispanic or Latino Native Hawaiian or other Pacific Islander North African or Middle Eastern South Asian or South Asian American White Another race Prefer not to say Other/Comments OK Question Title * 17. Are you a U.S. citizen? Yes No Prefer not to say OK Thank you for your registration. Metcalf Institute will be in touch to confirm and send you a link to the anonymous entrance survey, which must be completed as part of the Certificate. OK CLICK TO SUBMIT. THANK YOU!