Be sure to answer all questions.
Please include Country/City/Area Code on all Telephone numbers. These numbers are not being validated for you due to the possible variations in world-wide formats. Preferred format for US numbers is with spacing between number groups, no punctuation. (e.g. 508 856 8989)
Please provide your year of particpation in each of these UMMS Programs. Leave the field blank for any program in which you did not participate. Some of you should indicate more than one date here.
List languages you speak here: What are you doing now? (100 characters max)
Did participation in this/these program(s) help you in your career path? Yes No If so, how? (1000 characters max)
Please use these select boxes to indicate how you ranked your top 3 career choices when you participated in our outreach programs, and in which of these work areas you would categorize your current position. Note that all four choices are required.
For statistical reporting purposes, we also need to collect this additional information about you. All fields on this form are confidential, but are required to be answered.
Do you consider yourself economically disadvantaged? Yes No Would you be a First Generation College graduate? Yes No
Thank you for completing this update form. We suggest you may want to print this page to retain as your record of what you submitted, then click the "Submit Survey" button below to complete the process. If you encounter some sort of error, you may be able to return and correct your input by backing up your browser.
55 Lake Avenue North · Worcester, MA 01655