CDP Certificate Registration (rev 092820) Survey

1.First name(Required.)

2.Last name(Required.)

3.Email address(Required.)

4.Institution/College/Department(Required.)

5.Degree program (If you are a post-doctoral fellow, write "post-doc")(Required.)

6.Lab affiliation, if any

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?(Required.)

Yes

No

I'm not sure

8.All students:
Intended degree (BA, BS, MA, MS, PhD) and graduation date (month/year)

9.Undergraduate students:
Are you or have you ever been a SURF or SURF+ student?

Yes

No

10.Undergraduate students:
Intended area of study for graduate school

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

12.Graduate students:

Advisor's first name

Advisor's last name

Advisor's email address

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

14.Post-doctoral Fellows:

Supervisor's first name

Supervisor's last name

Supervisor's email address

15.What is your gender?(Required.)

17.Are you a U.S. citizen?(Required.)

Yes

No

Prefer not to say

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.