NSF CSEMS Scholar Information Form – Post Graduation
This form is required by NSF to keep track of scholar progress. NSF scholars should fill
it when they graduate. Please fill it and return it to Dr. Hall (x3868) or Dr. Yue (x3864).
Thank you.
Date: ________________________
PERSONAL AND PERMANENT CONTACT DETAILS
First Name:
Middle Initial:
Last Name:
Date of birth:
Home Address:
Phone:
Email:
________________________
________________________
________________________
________________________
________________________________
________________________________
________________________
________________________
Graduation Date:
Major:
________________________
________________________
POST GRADUATE INFORMATION
Is graduate working in a CSEMS or related field? Yes ___ No ___
Name and address of the Company: __________________________________
__________________________________
Nature of the job:
____________________________
____________________________
Is graduate pursuing further education in a CSEMS or related area? Yes ___ No ___
GENERAL COMMENTS
Please give your comments on the UHCL CSEMS Scholar Program, including a ranking
of its usefulness to you (1: least useful; 5: most useful):
Usefulness:
1. ____
Additional comments:
2. ____
3. ____
4. ____
5. ____