ASPH / ATPM / AAMC Training Program Alumni Survey
Please allow approximately 10 minutes to complete.

Which CDC-sponsored training program did you participate in? organization program

Section A: Demographics

First Name Middle Initial Last Name

What is your age?

What is your gender? Male Female

Are you of Hispanic or Latina origin or descent? Yes No

What ethnic group do you identify with? Scroll to SelectAmerican Indian or Alaska NativeAsianBlack or African AmericanMiddle EasternEuropeanNative HawaiianOther Pacific IslanderWhiteOther

If you are not a US citizen, of what country or countries are you a citizen?

What is your current address? Street or P.O. Box City State Zip Code Country

What is your current email address?

What is your current phone number?

Please list a person who would have your most current contact information, if we needed to contact you in the future for the purpose of program evaluation.

Contact name: Contact phone: Contact email:

If you do not wish to be contacted in the future, please check this box:

Section B: Education

In what year did you complete the traineeship? Scroll to Select199519961997199819992000200120022003

What degrees have you earned?

Scroll to SelectBachelorsMastersDoctorateOther Degree / Specialization Year Completed School Name Scroll to SelectBachelorsMastersDoctorateOther Degree / Specialization Year Completed School Name Scroll to SelectBachelorsMastersDoctorateOther Degree / Specialization Year Completed School Name Scroll to SelectBachelorsMastersDoctorateOther Degree / Specialization Year Completed School Name

Are you currently a student? Yes No If Yes , what degree/studies are you pursuing?

Do you plan to pursue other degrees? Yes No If Yes , what are they?

Section C: Fellowship / Internship Questions

On a scale of 1-5 with five being very positive and one being very negative, how would you describe your training experience?

1 2 3 4 5

Please check any of the following that you feel your training experience contributed to.

Overall knowledge in your specific field of interest Networking with colleagues Obtaining Employment Furthering your research interests Publications Affiliation with public health organizations Other

How well did your training experience relate to your current and previous employment experience?

Current: Scroll to Select Completely Related Somewhat Related Not Related At All Previous: Scroll to Select Completely Related Somewhat Related Not Related At All

On a scale of 1-5 with five being completely satisfied and one being completely unsatisfied, please rate how you feel about the following fellowship / internship program aspects.

Application Process 1 2 3 4 5 Orientation 1 2 3 4 5 Financial Support 1 2 3 4 5 Mentoring 1 2 3 4 5 Evaluation 1 2 3 4 5 Continued Affiliation 1 2 3 4 5

Would you recommend the traineeship to other students and early career professionals in your discipline? Yes No

Do you feel the traineeship opened doors and/or assisted in developing your career path? Yes No

Do you maintain a relationship with CDC colleagues that you worked with during your traineeship? Yes No

Did you / would you seek employment at the CDC on a permanent basis? Yes No

What are the three most practical things you learned at the CDC?

1. 2. 3.

What suggestions do you have for improvements?

On a scale of 1-5 with one being "not at all" and five being "completely", overall, did the traineeship meet your expectations?

1 2 3 4 5

Section D: Employment History

What type of employment have you worked in since the completion of your traineeship? Mark all that apply.

Health Policy Health Services Epidemiology or Biostatistics Behavioral Sciences Health Communications Environmental/Occupational Health Family Health (Local Health Officer, Nurse Educator, Nutritionist) International/Global Health Maternal and Child Care Laboratory Clinical Medicine/Nursing Pharmaceuticals Law Other None of the Above

Please list your employment history in chronological order form the time you completed your CDC-sponsored traineeship.

Place of employment and location Title and description Time in position (years)

Section E: Alumni Questions

Would you be interested in an alumni association or alumni group for networking purposes? Yes No

What would you like your sponsoring organization (ASPH, ATPM, AAMC, MHPF) to provide for alumni in the network? Please check all that apply.

Phone/Email Directory Annual Meeting/Reunion Annual or Quarterly Newsletter Job Listings Professional Networking Opportunities Other

Thank You!