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.

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* 1. First name

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* 2. Last name

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* 3. Email address

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* 4. Institution/College/Department

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

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* 6. Lab affiliation, if any

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* 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

I'm not sure

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

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

Yes

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

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* 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

Comments

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* 12. Graduate students:

Advisor's first name

Advisor's last name

Advisor's email address

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* 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

Comments

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* 14. Post-doctoral Fellows:

Supervisor's first name

Supervisor's last name

Supervisor's email address

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* 15. What is your gender?

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* 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

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* 17. Are you a U.S. citizen?

Yes

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.

CDP Certificate Registration (rev 092820)

Question Title

* 1. First name

Question Title

* 2. Last name

Question Title

* 3. Email address

Question Title

* 4. Institution/College/Department

Question Title

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

Question Title

* 6. Lab affiliation, if any

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?

Question Title

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

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

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

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* 12. Graduate students:

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* 14. Post-doctoral Fellows:

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* 15. What is your gender?

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* 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.)

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* 17. Are you a U.S. citizen?

* 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?

* 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?

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