Section I

THE RISE/MARC UNDERGRADUATE OUTGOING QUESTIONNAIRE

In order to assess the effectiveness of our program, we would like to record your answers to the following questions. The results from this survey will provide RISE/MARC with information to mark the increase in your knowledge of laboratory techniques and professional skills important to succeeding in graduate school. Please note, we do not expect you to have performed many of the techniques listed in this questionnaire upon completion of your degree. Fill this out carefully and thoroughly to assist us in developing a successful program. This is NOT an anonymous survey.

DIRECTIONS:

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If you need to take a break, click the PAUSE button on the page where you last filled out information. Clicking PAUSE is the only way to save your responses without actually SUBMITTING them. If you navigate away before you are finished without clicking PAUSE, all your information will be lost.
After filling out the page certifying that the information you have given is correct, click GO TO CONFIRMATION PAGE where you will review your answers.
You MUST click SUBMIT on the Confirmation Page to send your completed evaluation.

First Name:
Middle Initial:
Last Name:

Date of Birth (mm/dd/yyyy):

Home Phone:
Cell Phone:

Email Addresses (that will work after you leave RISE/MARC):

Current Address
City
State
Zip

Permanent Address
Relationship to Person at Permanent Address
City
State
Zip

Emergency Contact and Relationship
Emergency Phone

Program:

MARC-U*STAR

MBRS-RISE

	Month	Year
Program Exit Date:
Expected graduation date from UTSA:

Who was your research mentor?

Present class standing:
FreshmanSophomoreJuniorSeniorOther

Did you complete the GRE Prep course offered through the MBRS/MARC program?

Completed the courseAttended some sessions

Did not attend

Have you taken the GRE?YesNo

	Month	Year
When did you take the GRE?

Enter your GRE scores:

Verbal
Quantitative
Writing
Total GRE Score

Have you taken the MCAT, DAT or PCAT?YesNo