STEP and SURF Alumni “Where Are You Now?”

Greetings from the University of Rochester School of Medicine and Dentistry! We sincerely hope that all is well with you wherever you are, and that you are on your way to achieving your professional, education and personal goals. We are updating our records and WE NEED YOUR HELP! As you know, our Science Technology Entry Program (STEP) and Summer Undergraduate Research Fellowship Program (SURF) are programs that create great opportunities for students interested in pursing a career in medicine or health related professions. In order to better the programs, we need essential information from you. Please fill out the data questionnaire form and send it to us at the email address provided. Thank you again for your time and cooperation in this endeavor!

Best regards,
Gladys Pedraza-Burgos, MS
Co-Director, The Center for Advocacy, Community Health, Education and Diversity (CACHED)

Name:
Address:
City:
State:
Zip Code:
Phone Number:
Email Address :

Which program(s) and what year(s) did you participate?
STEP/YEAR(S):
NIH/YEAR(S):
SURF/YEAR(S):
MAPS/ Bridge to Medicine/ Charles Drew:

Which of the following program support services were most helpful in your preparation?
Career Presenters / Workshops:
PBL/ Basic Science Labs:
College Prep:
Mentoring/Preceptor Program:
MCAT Prep:
Summer Internships:
Financial Aid Information:
Oral and/or Poster Presentation Skills:
Other:

Please answer the questions as they apply to you:
What factors influenced your choice of College/ Medical or Graduate School?

How did the program(s) help prepare you for college/medical school?


STEP Alumni – Did you attend College – Undergraduate, if so where?
School Name:
School Phone:
School Address:
School City:
School State:
School Zip:
Major:
Minor Concentration:
Type of School:
Graduation Date (or Expected):
Year in School:

SURF Alumni - Did you attend Graduate/Medical School, if so where?
School Name:
Degree/School:
Related Studies:
Location:
Length of Program:
Completion Date:

Employment/Residency/ Present Status:
Company Name:
Phone:
Address:
City:
State:
Zip Code:
Position:
Number of Years:
Other:

Other Comments:

Thank you!

This form will be emailed to:

Gladys PedrazaBurgos
CACHED
University Of Rochester
School of Medicine
Rochester, NY