Dear K-INBRE Scholar, svelasquez@kumc.edu First Name* must provide value
Last Name* must provide value
University email address* must provide value
Permanent email address* must provide value
Permanent Address: Street, City, State, Zip* must provide value
High School Attended (include City and State)* must provide value
Are you a first generation university student?* must provide value
Yes
No
University:* must provide value
Emporia State University
Fort Hays State University
Haskell Indian Nations University
Kansas State University
Langston University
Pittsburg State University
University of Kansas-Lawrence Campus
University of Kansas Medical Center
Washburn University
Wichita State University
Other
If Other, please specify:* must provide value
Award (Please check all that apply)* must provide value
Summer/Semester Scholar
Star Trainee
Bioinformatics Scholar
Community Based Scholar
Clinical and Translational Scholar
University Scholar
Gear Up
Mentor First Name* must provide value
Mentor Last Name* must provide value
Mentor University* must provide value
Emporia State University
Fort Hays State University
Haskell Indian Nations University
Kansas State University
Langston University
Pittsburg State University
University of Kansas
University of Kansas Medical Center
Washburn University
Wichita State University
Mentor Email Address* must provide value
Your year in school* must provide value
Freshman
Sophomore
Junior
Senior
Graduate
High School
DEMOGRAPHICS Ethnicity* must provide value
Hispanic or Latino Not Hispanic or Latino I prefer not to answer
Race* must provide value
American Indian/Alaska Native
Asian
Black
Native Hawaiian/Other Pacific Islander
White
I prefer not to answer
Check all that apply
Gender* must provide value
Male Female I prefer not to answer
Career Goals After graduation I plan to: * must provide value
Attend Masters program
Attend PhD program
Attend MD program
Attend MD/PhD program
Attend veterinary school
Other professional/graduate program
Join the workforce
Please specify other program* must provide value
In what field of study do you plan to attend graduate/professional school?* must provide value
How prepared do you feel for graduate/professional school?* must provide value
very prepared
somewhat prepared
neutral
somewhat unprepared
not at all prepared
Do you plan to stay in Kansas for graduate/professional school?* must provide value
Yes
No
Why do you plan to stay in Kansas for graduate/professional school?* must provide value
Why don't you plan to stay in Kansas for graduate/professional school?* must provide value
Do you plan to stay in Kansas?* must provide value
Yes
No
Why do you plan to stay in Kansas?* must provide value
Why don't you plan to stay in Kansas?* must provide value
Did you think professional development seminars will be useful in preparing you for graduate/professional school or the workforce?* must provide value
Yes
No
What kinds of seminars do you think would be beneficial?* must provide value
Would other professional development activities be beneficial to K-INBRE students?* must provide value
Yes
No
If yes, what activities would be useful?* must provide value
If no, why don't you think professional development activities would be useful?* must provide value
What other kinds of professional development activities would be beneficial?* must provide value
Program Quality Have you participated in the publication of an article?* must provide value
Yes
No
Have you presented a scientific poster?* must provide value
Yes, at the K-INBRE Symposium
Yes, at a national conference other than the K-INBRE Symposium
Yes, at my university research day
No
Have you attended a scientific conference?* must provide value
Yes, the K-INBRE Symposium
Yes, the NISBRE conference
Yes, the Research day at the State Capitol
Yes, my university research day
Yes, another professional conference
No
Have you ever completed laboratory/field research outside of the classroom?* must provide value
Yes
No
If so, please elaborate.* must provide value
What do you hope to get out of your K-INBRE experience?* must provide value
What educational services or resources would help you succeed as a K-INBRE student?* must provide value
Symposium Have you heard about the K-INBRE annual symposium?* must provide value
Yes
No
If yes, what have you heard?* must provide value
Has information about the symposium affected your desire to join K-INBRE?* must provide value
Yes
No
Application Process How did you hear about K-INBRE?* must provide value
Friends
Fliers
Professor,
Campus emails
Online
Other
If other, please elaborate.* must provide value
Please mark all the reasons you are joining K-INBRE.* must provide value
Financial Aid
Laboratory Experience
Mentorship
Professional Development
Sympoisum
Networking
Academic Reputation
Diversity
Other
If other, please elaborate.* must provide value
Communications Have you visited the K-INBRE website for information?* must provide value
Yes
No
Did you find the website useful? Is there anything you would change?* must provide value
What kinds of social media do you use?* must provide value
Snapchat
Twitter
LinkedIn
Instagram
Facebook
YouTube
Other
None
What other social media do you use?* must provide value
Have you visited any of the K-INBRE social media?* must provide value
Facebook
Twitter
Instagram
LinkedIn
YouTube
Flickr
No, I have never visited the K-INBRE social media
What is the best way to disperse information to K-INBRE students? * must provide value
Email
Social Media/Website
Campus Coordinators
Meetings
Texting
Other
What other ways are best to disperse information to students?* must provide value
Thank You!
Submit
Save & Return Later
Working...