1995-2001 UW Alumni 
(Residing in the Puget Sound area) Survey

(back to Survey Index)

	Phone Interview:  Yes ____  No____
Internship ____	Interview#  ____________________
Lunchtime seminar ____	Interview Date:  ________________
Mentor ____	Interview Time: ________________
Vignette ____	Departments  __________________

Name _____________________________  Title ___________________________________
Address ___________________________________________________________________
Phone _____________________________  Email __________________________________

Employing sector:
   ___ Business/industry
   ___ Elementary or secondary school (K-12)
   ___ National laboratory
   ___ Medical facility
   ___ Teaching-intensive academic institution (liberal arts college, Master's-granting institution, community college)
   ___ Government agency
   ___ Self-employed
   ___ Non-profit organization
   ___ Research-intensive academic institution
   ___ Other: please specify

Field based Experiences
Have you or someone in your company been involved with UW internships in the past?
Yes____   No ____

Definition of an internship / nature of fieldwork, project, etc.

What disciplines/departments would be most appropriate?

Research required?    Yes _____   No _____   Supervisor?
What would be the incentives for your company?

What could be the length of an internship:   Quarters_______  Year/s _____  Varies _____
The hours of internship:   NA_______   Varies _______  Daytime _______
Is there pay?   Yes _____   No ______

Lunch Seminars/Discussions
In a lunchtime seminar, what could you imagine speaking about?

Would your graduation transition or present experience be helpful for doctoral students to know about?   Yes ____   No ____
Has your company had any brown bags for students on campus?  Yes ____   No____
Are you interested in participating in a panel or coordinating a panel of your colleagues?  Yes ____   No ____

Could you speak on any of the following professional development areas?
   ___ Dissertation planning/writing
   ___ Grant writing
   ___ Pedagogical training
   ___ Publishing experience
   ___ Diversity in the workplace
   ___ Vita preparation writing, networking, job interviewing skills, etc. for academic career options
   ___ Vita preparation writing, networking, job interviewing skills, etc. for non-academic career options
   ___ Opportunity to participate in university/departmental governance
   ___ Leadership/management training
   ___ Interdisciplinary work
   ___ Cross-cultural/international experiences
   ___ Technology training
   ___ Externships/internships
   ___ Mentoring
   ___ Civic uses of scholarship
   ___ Other, please specify ___________________________________________________________

Mentoring
How would you envision this relationship?  ___ Informal  ___ Committee

What does your employing sector want in Ph.D.'s? (Skill sets, experience, qualifications)
1.____________________________________________________________________
2.____________________________________________________________________
3.____________________________________________________________________
4.____________________________________________________________________
5.____________________________________________________________________
6.____________________________________________________________________
7.____________________________________________________________________

Would a website with résumés, cover letters, examples or projects and publications, and references be valuable for you as a hiring organization?  Yes ___  No ____

Vignettes        Yes ___  No ____