Mayagüez Campus

Undergraduate Research Experiences Assessment Form*

University of Puerto Rico

Department of Biology

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Dr. Vivian Navas from the Biology Department at UPRM is gathering information regarding research experiences of our undergraduates. Please fill out this form if you have participated in undergraduate research.

Student Name______________________

E-mail_____________________

Department _________ Major_______ Expected Graduation Date _____

Year of Study: ___ Freshman ___ Sophomore ___ Junior ___ Senior

Future Plans: BS_____ MS____ PhD____ MD ____ MD/PhD___ Other (Specify)_____

Are you a MARC/Sloan/Reto student? ___Yes ___No

Undergraduate research experiences: Please provide the following information for each enrichment experience or internship in which you have participated.

How did you find out about these opportunities (select all that apply):

___ Department ___Vivian Navas (ASCB undergraduate opportunities)

___ Marc/Sloan Office ___ Reto/Promise Office

___ Faculty ___ Other (explain) _____________________________

Impact of the Experience

Taking ALL of your enrichment experiences into account, indicate your level of agreement or disagreement with the following statements.

My enrichment experience(s)…	Strongly Agree (5)	Agree (4)	Neutral (3)	Disagree (2)	Strongly Disagree (1)
Developed a greater awareness of the opportunities available to me in my field.
Strengthened my communication skills.
Strengthened my teamwork skills.
Increased my desire to become a researcher in my field.
Provided me with opportunities to gain new knowledge and technical skills in my field.
Developed or increased my leadership skills.
Provided me with opportunities to apply my knowledge and skills to new situations/problems.
Introduced me to a mentor who cared about me and spent time explaining the project and my responsibilities
Developed my research skills.
Made me aware of global issues.

Select one of the following that BEST describes you.

The enrichment experience(s) has:

□ Made me aware that graduate or professional school is an option for me.

□ Increased my desire to enter a graduate or professional program right after graduation.

□ Increased my desire to work right after graduation.

□ Increased my desire to work before entering a graduate or professional program.

□ Increased my desire to enroll in a graduate or professional program while working.

□ Convinced me to change my major.

□ Other (explain);_______________________________________________________

*Adapted form SEED (Civil Engineering Department – UPR-RUM)