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SURVEY OF BIOTECHNOLOGY
PROFESSIONAL ACTIVITIES IN THE CSU


CSUPERB is trying to get an overview of the types of biotechnologically related professional activities that are occurring throughout the CSU with the goal of creating a comprehensive data base of these activities.  We would sincerely appreciate your filling out the following survey and also notifying any colleagues you might know who are carrying out activities of this nature.  We have tried to design this survey to take a minimum amount of time and thank you for your time and insights in this regard. [Biotechnology - the use of cellular and biomolecular processes to solve problems or make products (from the Biotechnology Industry Organization website).] 
Please provide the following information:

   Name
   Address
   City, State, Zip Code
   Day-Time Phone Number
   Email
   Campus and Department
 
Discipline (Please check one):
Natural Science
Engineering/Computer Science
Math
Business/Economics
Other 
Position/Rank (Please check one):
Professor
Associate Professor
Assistant Professor
Lecturer
Other 
Please check the appropriate boxes and fill in comments on the survey form below.


  1.  Do you currently have an active research program involving biotechnology (Please check one):
 
Yes Please complete ALL Sections below
No Please skip Section 2 then complete Sections 3, 4 and 5 below:
  2.  Please answer the following for your active research project(s) that involve biotechnology:
(If you answered "NO" to question 1, please skip this section)
 
Broad area(s) of research (one or two word categories):

Specific research programs/projects active in your lab (one or two sentences/project):

 
How many students are involved in your research projects (in an average year)?
 
Undergraduates:  None; 1-5; 5-10; >10
Graduates: None; 1-5; 5-10; >10
How many graduate students have received degrees from your research program?
(in the last 5 years)
None; 1-5; 5-10; >10

Positions now held by those who graduated from your research program:

 (in the past 5 years)
Those Who Were Admitted to Graduate/Professional Programs
Please list graduate school name(s) in the following box and then check all appropriate boxes below. 
PROGRAM 
 NUMBER 0F STUDENTS (in past 5 years)
Masters (Science): 
 None; 1-5; 5-10; >10
MBA: 
 None; 1-5; 5-10; >10
Ph.D: 
 None; 1-5; 5-10; >10
Medical School: 
 None; 1-5; 5-10; >10
Dental School: 
 None; 1-5; 5-10; >10
Pharmacy School: 
 None; 1-5; 5-10; >10
Other:
 None; 1-5; 5-10; >10

 
Those Who Accepted Teaching Positions
Please list school name(s) in the following box and then check all appropriate boxes below. 
EDUCATIONAL LEVEL
 NUMBER 0F STUDENTS (in past 5 years)
K-6: 
 None; 1-5; 5-10; >10
7-12: 
 None; 1-5; 5-10; >10
Community College: 
 None; 1-5; 5-10; >10
University: 
 None; 1-5; 5-10; >10

 
Those Who Accepted Industrial Positions
Please list company name(s) in the following box and then check all appropriate boxes below. 
POSITION 
 NUMBER 0F STUDENTS (in past 5 years)
Research & Development: 
 None; 1-5; 5-10; >10
Production: 
 None; 1-5; 5-10; >10
Human Resources: 
 None; 1-5; 5-10; >10
Management: 
 None; 1-5; 5-10; >10
Communications: 
 None; 1-5; 5-10; >10
Field Work: 
 None; 1-5; 5-10; >10
Science Writing: 
 None; 1-5; 5-10; >10
Other:
 None; 1-5; 5-10; >10
 
Average per year amount of funding for your research program (over the past 5 years):
 
FUNDING SOURCE 
$ AMOUNT per YEAR
Federal: 
 <10,000; 10-50,000; 50-100,000; >100,000
State: 
 <10,000; 10-50,000; 50-100,000; >100,000
CSUPERB: 
 <10,000; 10-50,000; 50-100,000; >100,000
Private Foundations: 
 <10,000; 10-50,000; 50-100,000; >100,000
Industry Partners: 
 <10,000; 10-50,000; 50-100,000; >100,000

Products from your research lab (total from your lab in the past 5 years):

 
PRODUCT 
 TOTAL NUMBER
Publications: 
 None; 1-3; >3
Scientific Presentations: 
 None; 1-3; >3
Patents & Licenses: 
 None; 1-3; >3
Other Partnerships: 
 None; 1-3; >3
Honors & Awards: 
International Level 
 None; 1-3; >3
National Level 
 None; 1-3; >3
State Level 
 None; 1-3; >3
Campus Level 
 None; 1-3; >3

  3.  Please answer the following for your biotechnology activities
other than research projects:
 
Type of activities (please check all that apply):
Authoring Textbook(s)
Development of Instructionally Related Materials  (other than textbooks)
Student Placement (Internships/Jobs)
Teacher Training (Preservice and Inservice)
Outreach to Community Colleges
Outreach to 7-12
Outreach to K-6
Outreach to Community
Other 
How many students are involved in your non-research projects (in an average year)?
 
Undergraduates:  None; 1-5; 5-10; >10
Graduates: None; 1-5; 5-10; >10
 
Average per year amount of funding, if any, for your non-research activities (over the past 5 years):
(please check all that apply)
 
FUNDING SOURCE 
$ AMOUNT per YEAR
Federal: 
 <10,000; 10-50,000; 50-100,000; >100,000
State: 
 <10,000; 10-50,000; 50-100,000; >100,000
CSUPERB: 
 <10,000; 10-50,000; 50-100,000; >100,000
Private Foundations: 
 <10,000; 10-50,000; 50-100,000; >100,000
Industry Partners: 
 <10,000; 10-50,000; 50-100,000; >100,000

Products from your non-research activities (total from the past 5 years):

 
PRODUCT 
 TOTAL NUMBER
Publications: 
 None; 1-3; >3
 Presentations: 
 None; 1-3; >3
Patents & Licenses: 
 None; 1-3; >3
Honors & Awards: 
International Level 
 None; 1-3; >3
National Level 
 None; 1-3; >3
State Level 
 None; 1-3; >3
Campus Level 
 None; 1-3; >3
  4.  Professional Affiliations
(Please check all affiliations of which you are a member.
If you hold a position in the affiliation other than member, please list the position held):
 
AAAS 
ACS
APS
ASBMB
ASCB
ASM
SIM
Other
  5.  Optional Comments
Please let us know how CSUPERB could best facilitate your biotechnology activities
(other than increased funding):
(LIMIT - 250 words)


Click  to submit your survey. Click  to clear your form and start over.