SROP Survey - Graduate College - The University of Iowa

SROP End-of-program Survey—Page 1

Committee on Institutional Cooperation (CIC)
Summer Research Opportunities Program
2008 End-of-Program Survey

Please print and complete the following and return it to your SROP Program Coordinator as soon as possible. Your responses to this survey will enable us to develop appropriate summary information for future use in programming and follow up reports. Please be sure to print legibly.

Be sure to print page 1 and page 2

PERSONAL DATA
Social Security Number:
Last Name:
First Name:
Middle Name:
FULL PERMANENT ADDRESS
Street Address:
City:	State:	Zip:
Phone (Include area code):
Email:
RESEARCH INFORMATION
Home University:
SROP Host University:
SROP Faculty Mentor:
SROP Research Project Title:
Do you plan to continue working on your project with your mentor during the academic year?		Yes	No
Do you have any plans to present the results of your research at a professional meeting?		Yes	No
Will you be listed as an author on an article/book chapter as a result of your research this summer?		Yes	No
Go to Page 2