Project SEED 2016
Student Follow Up Survey
Please complete this form as you end your Project SEED experience. This survey serves as the basis information to determine the impact and scope of the Project SEED program. The Follow-up Student Survey and Student Written Report must be completed and sent to the Project SEED Office in Washington, DC by the August 31, 2015 deadline. Upon receipt of all paperwork, your final $500 educational award will be sent to you by your mentor. (Please allow two weeks for delivery.) After September 14, 2015, your educational award will no longer be available.

Contact Information:

* Required Field

First Name: *
Last Name: *
City: *
State: *
Summer Program: Summer I
Summer II
Amount of stipend you received-$*
Are you:
If ethnicity is Other please Specify:
Family Income:

Overall, how would you rate your Project SEED experience? Excellent

Please select the option which best describes your
feelings about Project SEED:
Project SEED Helped Me: Yes Maybe No
Develop my skills and abilities
Develop self-confidence
Develop responsibility
Understand the ethical behavior of scientists pursuing and reporting
Develop better study habits
Develop a greater interest in scientific/technical areas
Learn what advance study is like
Decide to continue my education after high school
Choose a college major
Learn about employment opportunities in scientific technical fields
Decide to pursue a career in science
What is the highest level of education you expect to complete? High school
Vocational, trade or business
Some College
2 year College graduate
4 year College graduate
Graduate/professional school

If you plan to go to college, list your top three choice of majors:
First Choice:
If major is Other please Specify:
Second Choice:
If major is Other please Specify:
Third Choice:
If major is Other please Specify:
What are the chances that you will become a scientist, engineer, or mathematician in the future?

Where did you do your research? an industrial lab
a medical school lab
a governmental lab
an academic lab

How helpful did you find the manual, "Safety in the Academic Chemistry Laboratories"?
Not helpful
Did not receive the manual

How often did you refer to the safety manual? A lot
A little

Did you receive the Project SEED college scholarship packet? Yes

Will you apply for a Project SEED college scholarship? Yes

If No, please explain why:
Would you recommend Project SEED to your friends? Yes

May we use your comments in any of our publications to promote the program?

Your Signature: *