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An Assessment of Research-Doctorate Programs in the United States: Mathematical and Physical Sciences (1982)

Chapter: Appendix B: Survey of Earned Doctorates (Measures 04-07)

« Previous: Appendix A: Letter to Institutional Coordinators and Accompanying Survey Form (Measures 01-03)
Suggested Citation:"Appendix B: Survey of Earned Doctorates (Measures 04-07)." National Research Council. 1982. An Assessment of Research-Doctorate Programs in the United States: Mathematical and Physical Sciences. Washington, DC: The National Academies Press. doi: 10.17226/9730.
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Page 204
Suggested Citation:"Appendix B: Survey of Earned Doctorates (Measures 04-07)." National Research Council. 1982. An Assessment of Research-Doctorate Programs in the United States: Mathematical and Physical Sciences. Washington, DC: The National Academies Press. doi: 10.17226/9730.
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Page 205
Suggested Citation:"Appendix B: Survey of Earned Doctorates (Measures 04-07)." National Research Council. 1982. An Assessment of Research-Doctorate Programs in the United States: Mathematical and Physical Sciences. Washington, DC: The National Academies Press. doi: 10.17226/9730.
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Page 206

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APPENDIX B SURVEY OF EARNED DOCTORATES (Conducted by the National Research Council under the sponsorship of the National Science Foundation, the Department of Education, the National Institutes of Health, and the National Endowment for the Humanities.) This annual survey of new recipients of Ph.D. or equivalent research doctorates in all fields of learning contains information describing their demographic characteristics, educational background, graduate training, and postgraduation plans. The source file includes nearly complete data from all 1958-81 doctorate recipients and partial information for all 1920-57 doctoral graduates. 204

205 SURVEY OF EARNED DOCTORATES This form is to be returned to the GRADUATE DEAN, for forwarding to . Please print or type. NSF form 558 1977 OMB No. 99-R0290 Approval Expires June 30, 1979 ................... Board on Human-Resource Data and Analyses Commission on Human Resources National Research Council 2101 Constitution Avenue, Washington, D. C. 20418 A. Name in full: (9~30) (Middle Name) (Last Name) (First Name) Cross Reference: Maiden name or former name legally changed ............................................................... B. Permanent address through which you could always be reached: (Care of, if applicable) .............................................. ................................................................................................. (Number) (Street) ........................................ (State) U.S. Social Security Number: Date of birth: (4145) Sex: E. G. Citizenship: . (31) , ........................... .... . ..... . . . (City) ................................................................................... ............. (Zip Code) (Or Country if not U.S.) , Place of birth: (Month) (Day) (Year) (46~7) (State) (Or Country if not U.S.) I O Male 2 O Female Marital status: 1 O Married 2 Q Not marked (including widowed, divorced) 0 O U.S. native 2 O Non U.S., Immigrant (Permanent Resident) 1 O U.S. naturalized 3 0 Non-U.S., Non-Immigrant (Temporary Resident) If Non-U.S., indicate country of present citizenship ................................................ (.32-40 ) (48) (49) (50) (51-52) H. Racial or ethnic group: (Check all that apply.) ~ person having origins in- O O American Indian or Alaskan Native . any of the original peoples of North America, and who maintain cultural identification through tribal affiliation or community recognition. 1 0 Asian or Pacific Islander . any of the original peoples of tlie Far East, Southeast Asia, the Indian Subcontinent, or the Pacific Islands. This area includes, for example, China, Japan, Korea, the Philippine Islands, and Samoa. 2 O Black, not of Hispanic Origin . any of the black racial groups of Africa. 3 0 White, not of Hispanic Origin . any of the original peoples of Europe, North Africa, or the Middle East. 4 0 Hispanic Mexican, Puerto Rican, Central or South American, or other Spanish culture or origins, regardless of race. ( s3:ss) I. Number of dependents: Do not include yourself. (Dependent = someone receiving at least one half of his or her support from YOU) . (s6) J. U.S. veteran status: 0 O Veteran 1 O On active duty 2 0 Non-veteran or not applicable (57) K. High school last attended: ........ (5859) (School Name) 'em Year of graduation from high school: (City) (State) (6~61) L. List in the table below all collegiate and graduate institutions you have attended including 2-year colleges. List chronologically, and in- clude your doctoral institution as the last entry. Institution Name L Vicars Atter deaf From To _=_ __-_ = = _ == _ Major Field | Minor _ i _ Use Sr~ecialties List Name | Number | Number . _ = =, _ = _ Degree (if any) Title of Granted Degree _~ ,1 ~ M. Enter below the title of your doctoral dissertation and the most appropriate classification number and field. If a project report or a musical or literary composition (not a dissertation) is a degree requirement, please check box. Title .......................... Classify using Specialties List Number Name of field .................................................... N. Name the department (or interdisciplinary committee, center, institute, etc.) and school or college of the university which supervised your doctoral program: ..... O. Name of your dissertation adviser: ........ (44) (Departmentt I nstitute/Committee/Program) , ........ .................................................................. (Last Name) {Fins Name) (Middle Initial) continued on next page

206 SURVEY OF EARNED DOCTORATES, Con1. P. Please enter a "1" beside your primary source of support during graduate study. Enter a "2" beside your secondary source of support dur ing graduate study. Check all other sources from which support was received. 58 NSF Fellowship 66_GI Bill 72 Research Assistantship 76_Spouse's earnings 59_NSF Traineeship 67 Other Federal support 73 Educational fund of 77 Family contribu 60 _ NIH Fellowship (specify) industrial or tions 61 _ NIH Traineeship 68 Woodrow Wilson Fellowship business firm 78 Loans (NDSL 62 NDEA Fellowship 69 Other U.S. national fellowship 74 Other institutional direct) 63 Other HEW funds (specify) 79- Other loans 64 AEC/ERDA (specify) ...................... 80 Other (specify) Fellowship 70_University Fellowship 75 Own earnings ................ 65 NASA Traineeship 71 Teaching Assistantship Q. Please check the space which most fully describes your status during the year immediately preceding the doctorate. 5 O College or university teaching 0 O Hcid fellowship Full-time 6 O College or university non-teaching 1 O Held assistantship Employed in: 7 O Elem. or sec. school, teaching 2 O Held own research grant (Other than 8 O Elem. or sec. school, non-teaching 0 l, 2) 9 O Industry or business 3 O Not employed ~(11) O Other (specify) 4 O Part-time employed (12) O Any other (specify) (9) R. How many years (full-time equivalent basis) of professional work experience did you have prior to the doctorate? (include assistantships as professional experience) r _ US FUNS S. How well defined are your postgraduation plans? V. 0 O Have signed contract or made definite commitment l O Am negotiating with a specific organization, or more than one 2 0 Am seeking appointment but have no specific prospects 3 O Other (specify) ....................... T. What are your immediate postgraduation plans? 0 O Postdoctoral fellowship? 1 O Postdoctoral research associateship? 2 O Traineeship? , 3 O Other study (specify) J 4 0 Employment (other than 0, 1, 2, 3) ~ Go to 5 0 Military service? ~ Item "V" 6 O Other (specify ) ( ~ 3 ) J 'U. If you plan to be on a postdoctoral fellowship, associateship, traineeship or other study .......... (12) i, Go to ~ Item "U" lf you plan to be employed, enter military service, or other- What will be the type of employer? O 0 4-year college or university other than medical school 1 O Medical school 2 O Jr. or community college 3 0 Elem. or sec. school 4 O Foreign government S O U.S. Federal government 6 O U.S. state government 7 O U.S. local government 8 O Nonprofit organization 9 O Industry or business (11) O Self~mployed (12) O Other (specify) (id) Indicate primary work activity with "1" in appropriate box; seco~rtlary work activity (if any) with "2" in appropriate box. What will be the field of your postdoctoral study? 0 0 Research and development Number Classify using Specialties List. l O Teaching 3 O Professional services to individuals ............ ........................... (~4-~6) S O Other (specify) (19-20) What will be the primary source of support? 0 O U.S. Government 1 O College or university 2 O Private foundation 3 O Nonprofit, other than private foundation 4 ~ Other (specify) . ... . . . . .. . . . . . ... . .. .. 6 O Unknown Go to Item "W" ..................... --(17) W. What is the name and address of the organization with which you will be associated? .. .. .. .. . . .. . . .. . . .. .. .. . . . . . . .. .. . . .. . ... .. . . .. . . . .. .. .. .. .. .... .. . (Name of Or~anizatlon) X. Please indicate, by circling the highest grade attained, the education of In what field will you be working? Please enter number from Specialties List (21-23) Go to Item "W" .. . . . . .. . .. . .. .. .. .. . . . . . . .. .. .. ... ... .... .. (City, State) (Or Country if not U.S.) <24-29) your father: none 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 MA, MD PhD Posido~om1 (~0) Elementary school High school College Graduate your mother none 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 MA, MD PhD Postdo~om1 (31, 0 1 2 3 4 S 6 -7 8 g (11) Signature Date completed j j

Next: Appendix C: Letter to Evaluators and Specimen of the Instrument Used in the Reputational Survey (Measures 08-11) »
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