Qualtrics Survey | Qualtrics Experience Management

Welcome Alumni! The Undergraduate Research Hub (formally Academic Enrichment Programs (AEP)) would love to know what you are up to these days! Please let us know by filling out this survey.

Data submitted here may be used for internal and external reporting. Information will not be shared publicly unless you agree to. If you have any questions, please contact us at ugresearch@ucsd.edu

Personal Information

First Name(s)

Last Name(s)

Preferred Name(s) (If different)

Pronouns

Email

Phone Number

Preferred title (Mr., Mx., Dr., MD, Esq., PhD, etc.)

What URH programs did you participate in while at UC San Diego?
(e.g. AHA, Amgen Scholars, CAMP, FMP, Genentech, Hughes Scholars, IME-Becas, MARC, McNair, TRELS, STARTneuro, UC Scholars, URS)

What URH programs did you participate in while at UC San Diego?
(e.g. AHA, Amgen Scholars, CAMP, FMP, Genentech, Hughes Scholars, IME-Becas, MARC, McNair, TRELS, STARTneuro, UC Scholars, URS)
	Program Name	Year(s)
Program 1	Program 1	Program 2
Program 2	Program 1	Program 2
Program 3	Program 1	Program 2
Program 4	Program 1	Program 2

What URH conferences did you participate in while at UC San Diego?
(Conference for Research in the Arts, Social Sciences and Humanities (CRASSH), Faculty Mentor Program Symposium, Online Undergraduate Research Symposium (OURS), Summer Research Program (SRC), Undergraduate Research Conference (URC))

What URH conferences did you participate in while at UC San Diego?
(Conference for Research in the Arts, Social Sciences and Humanities (CRASSH), Faculty Mentor Program Symposium, Online Undergraduate Research Symposium (OURS), Summer Research Program (SRC), Undergraduate Research Conference (URC))
	Conference Name	Year(s)
Conference 1	Conference 1	Conference 2
Conference 2	Conference 1	Conference 2
Conference 3	Conference 1	Conference 2
Conference 4	Conference 1	Conference 2
Conference 5	Conference 1	Conference 2

What degrees have you earned?

What degrees have you earned?
	Degree (e.g. B.S., B.A., PhD)	Degree Field (e.g. Sociology, Chemistry)	University Name
Undergraduate Degree	Undergraduate Degree	Graduate/Professional Degree 1	Graduate/Professional Degree 2
Graduate/Professional Degree 1	Undergraduate Degree	Graduate/Professional Degree 1	Graduate/Professional Degree 2
Graduate/Professional Degree 2	Undergraduate Degree	Graduate/Professional Degree 1	Graduate/Professional Degree 2
Graduate/Professional Degree 3	Undergraduate Degree	Graduate/Professional Degree 1	Graduate/Professional Degree 2

What is your career right now? (Please list both your position and the industry/company)

What are some professional accomplishments that you are proud of?
(Examples: awards, presentations, promotions, publications, growth, lessons learned, creations, discoveries, etc.)

Please share any professional links with us (e.g. professional website, publication links, news article)

How did your experience in our programs impact your life?

We would love for you to connect with our current students. Please indicate the ways you are interested in working with us. (Check all that apply)

We would love for you to connect with our current students. Please indicate the ways you are interested in working with us. (Check all that apply)
	In Person	Remote
Key Note Speaker	In Person	Remote
Panelist	In Person	Remote
Conference Moderator	In Person	Remote
Guest Speaker	In Person	Remote
Other (Please list below)	In Person	Remote

Do you have anything else you would like to share with us?

Are you ok with your information (excluding email/phone) being publicly profiled on our website/social media?

Yes
No