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Ronald E. McNair Postbaccalaureate Achievement Program
One of the federal mandates of all McNail programs is to continuously track scholars through the completion of their Ph.D. and report all education-related activities annually. We would appreciate your taking a few minutes to let us know your current status regarding advanced study and other activities. Please respond to the following questions.

I. Personal Information
*First Name:

Middle Name:

*Last Name (inc. Maiden):

*Street Address:

*City:

*State:

Zip:

*E-mail Address:

Telephone:

II. Academic Information
Are you currently in graduate or professional school?
Choose one of the following answers
IIa. Academic Information - Currently Enrolled
If yes, please respond to the following questions. If no, please skip down to the "Not Currently Enrolled" section below.

Name of college/university where you are enrolled:

What degree are you working towards?
Choose one of the following answers

Field of study:

When did you begin working on your degree?
Choose one of the following answers

What year did you begin working on your degree?

What year were you at the end of spring semester this year?

When are you scheduled to graduate?
Choose one of the following answers

What year are you scheduled to graduate?

III. Academic Information - Not Currently Enrolled
If you are currently enrolled in a graduate or professional program, please skip to the "Occupational Information" section below.

If you are not in graduate or professional school, do you already hold an advanced degree?
Choose one of the following answers

If yes, which degree do you hold?
Choose one of the following answers

Date of degree completion (actual date, please):

Name of accrediting college/university:

Field of study:

If you are not in graduate school, please respond to the following (check all that apply):
Check any that apply
IV. Occupational Information
If you are not currently in graduate school, what is your employment status?

Name of employer:

Current job title:

Location of employer (city/state):

V. Comments
Your comments are welcome.