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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. 154

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55 NSF Form 558 1977 OMB No. 99-R0290 SURVEY OF EARNED DOCTORATES Approval Expires June 30, 1979 This form is to be retained to the GRADUATE DEAN, for forwarding to .......... Please print or type. .......... Board on Human-Resource Data-and Analyses Commission on Human Resources National Research Council ~101 Constitution Avenue, Washington, D. C. 20418 (Last Name) (First Name) (Middle Name) Cross Reference: Maiden name or former name legally changed (31) B. Permanent address through which you could always be reached: (Care of, if applicable) ............................................. , .............. (Number) (Street) .......................................... .. .. .. .... . .. (City) ............................ ................................................................................... ... . .... . ... . (State) (Zip Code) (Or Country if not U.S.) C. U.S. Social Security Number: ~ (~,o D. Date of birth: Place of birth: (4145) (Month) (Day) (Year) (4647) (State) (Or Country if not U.S.) E. Sex: 1 ~ Male 2 ~ Female (48) F. Marital status: 1 O Married 2 O Not married (including widowed, divorced) G. Citizenship: O U.S. native 2 O Non U.S., Immigrant (Permanent Resident) 1 0 U.S. naturalized 3 0 Non-U.S., Non-Immigrant (Temporary Resident) If Non-U.S., indicate country of present citizenship ................................................ (49) (50) (s'-52 ) H. Racial or ethnic group: (Check all that apply.) A person having origins in 0 O American Indian or Alaskan Native . an~y of the original peoples of North America, and who maintain cultural identification through tribal affiliation or community recognition. 1 O Asian or Pacific Islander . any of the original peoples of the 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 O White, not of Hispanic Origin . any of the original peoples of Europe, North Africa, or the Middle East. 4 O Hispanic Mexican, Puerto Rican, Central or South American, or other Spanish culture or origins, regardless of race. (53 ss) 1. 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 n On active duty 2 0 Non-veteran or not applicable (57) K. High school last attended: . (Schoci Nan e) Year of graduation from high school: ........... ,: ~~.~,~'~'~-~::'~, ~~ i~ ; ,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (city) (state) 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 1 oration clears _ Attended _ From To , = _ ~~ ==_ ==~ Major Field | field Use Specialties List Name Degree (if any) Title of . Gram Ted Degree Mo ___ .- 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. O 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: ....... ..................................................................... (Department/InstitutetCommittee/Program) (School) O. Name of your dissertation adviser: ........ (44) ........ .................................................................. (Last Name) SFirst Name) (Middle Initial) continued on next page

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156 SURVEY OF EARNED DOCTORATES, Cont. P. Please enter a i`19' 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 Spouses earnings 59 NSF Traineeship 67 Other Federal support 73_Ed~'cational fund of 77_Family contribu- 60 NIH Fellowship (specify) industrial or tions 61 NIH Trainecshir) 68 Woodrow Wilson Fellowship bossiness firm 78 Loans (NDSL 62_NDEA Fellowship, 69 Other U.S. national fellowship 74 Other institutional direct) 63 Other HEW fiends (specify) 79 Other loans 64 AEC/ERDA (specify) ...................... 80_Other (specify) Fellowship 70- University Fellowship 75 Own earnings ............... 65 NASA Traineeship 71 Teaching Assistantship Please check the space which most fully describes your status during the year immediately preceding the doctorate. 0 O Held fellowship l O Held assistantship 2 0 Held own research grant 3 0 Not employed 4 O Part-time employed ~ _ = ~ - - _ ~ ~ ~ P ~ 5 0 College or university teaching 6 O College or University non-teaching 7 O Elem. or sec. school teaching 8 O Elem. or sec. school non-teaching 9 0 Industry or lousiness (l1) G Other (specify) ....................................... (12) 0 Any other (specify) ................................ R. How many years (full-time equivalent basis) of professional work experience did you have prior to the doctorate? (include assistantships as professional experience) ................. PQSTORAl)UATION PLANS How well defined are your postgraduation plans? 0 O Have signed contract or made definite commitment 1 O Am negotiating with ~ specific organization or more than one 2 O Am seeking appointment but have no specific prospects 3 O Other (specify) (~2 T. What are your immediate postgraduation plans? 0 O Postdoctoral fellowship? 1 O Postdoctoral research associateship? 2 O Traineeship? 3 O Other study (specify) ................ 4 A Employment (other than 0 1 2 3) 5 O Military service? 6 O Other (specify)..... ~ Go to 't Item U 1 Goto ...... (13) ,{ Item"V,, U. If you plan to be on a postdoctoral fellowship associateship traineeship or other study What will be the field of your postdoctoral study? Classify rising Specialties List. Number Field . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . What will be the primary source of support? 0 O U.S. Government 1 0 College or university 2 O Private foundation 3 O Nonprofit other than private foundation 4 ~ Other (specify) ..... (14-16) ............................................... 6 O Unknown Go to Item W W. What is the name and address of the organization with which you will be associated? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name of Organization) X. Please indicate, by circling the highest grade attained, the education of (10-~) V. If you plan to be employed, enter military service, or other What will be the type of employer? 0 O 4-year college or university other than medical school 1 O Medical school 2 O Jr. or community college 3 O Elem. or sec. school 4 O Foreign government 5 0 U.S. Federal government 6 O U.S. state government 7 O U.S. Iocal government 8 O Nonprofit organization 9 O Industry or business ( 11 ) O Self-employed (12) O Other (specify) (ha) Indicate p~ir7Iary work activity with 1 in appropriate box; seco,`llary, work activity (if any) with 2 in appropriate box. 0 O Research and development 1 O Teaching 2 O Administration 3 0 Professional services to individuals 5 O Other (specify) (19-203 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 Postdoctoral (30) _ _ _ _ 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 MDPhD Postdoctoral (34, 0 1 2 3 4 5 6 7 8 9 (11) Signature ....................................... ......... Date completed (32-34 )