Male Female

2. If you are a US citizen or a permanent resident, what is your ethnicity?:

American Indian/Alaska Native

Asian American

Black/African American

Hispanic/Latino

Other Please specify:

3. What is your classification?

Freshmen

Sophmore

Junior

Senior

Master's Level

PhD Level

Incoming Graduate

4. Type of Institution you are enrolled in?

Public Historically Black

Private Historically Black

Public Historically White

Private Historically White

Other, Please Specify:

5. In which department or field are you pursuing your degree?

Department or Field:

6. What was your primary activity immediately prior to this program?

Undergraduate Student

Graduate Student

Employed in a field related to that of current study

Volunteered/Community Center

None of these above

7. AGEM Program Staff

Helpfulness of the Staff Excellent Good Undecided Average

Explanation of what was required of me Excellent Good Undecided Average

AGEM Program meet your expectations Excellent Good Undecided Average

8. Have you ever conducted independent research prior to this program? Yes No

If so, where and what department?

9. Overall Program Assessment

1. Summer Placement Excellent Good Undecided Average

2. Faculty Mentor Excellent Good Undecided Average

3. Research Topic Excellent Good Undecided Average

4. Campus Facilities Excellent Good Undecided Average

5. Meal Plan Excellent Good Undecided Average

6. Housing Excellent Good Undecided Average

7. Stipend/Finacial Benefits Excellent Good Undecided Average

8. Library Tour Excellent Good Undecided Average

9. Research & Scientific Writing Workshop Excellent Good Undecided Average

10. Stennis Space Center Excellent Good Undecided Average

11. CPR & First Aid Workshop Excellent Good Undecided Average

12. Resume & Interviewing Skills Workshop Excellent Good Undecided Average

13. Leadership & Oral Comm. Workshop Excellent Good Undecided Average

14. Grammar & Style Worskshop Excellent Good Undecided Average

15. Overall Opinion of the AGEM Program Excellent Good Undecided Average

10. Suggestions to improve the AGEM Summer Component

11. If you are not currently enrolled, would you consider pursuing graduate studies at this institution?

12. Would you recommend this program to your peers?

13. Did you verify that the information being submitted is honest and correct?

Yes No