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(1)

Robert Wood Johnson Foundation

New Careers in Nursing

(2)

Consent & Instructions

Please copy and paste your unique student ID number to ensure accuracy. This number can be found in

the email inviting you to complete the survey:

_____________________

New Careers in Nursing Alumni Survey

We are delighted that you are participating in the Robert Wood Johnson Foundation New Careers

in Nursing (NCIN) Alumni Survey. This survey explores the post-degree experiences of accelerated

and direct-entry nursing program graduates with the goal of informing new developments in the

NCIN program.

Participation in the New Careers in Nursing Alumni Survey is completely voluntary. You may choose not

to answer any questions by selecting “Prefer not to respond” or by leaving open-ended questions blank.

You may also exit the survey at any time without penalty.

All responses to this survey are strictly confidential.

The NCIN Alumni Survey is part of the external

evaluation of the NCIN program, which is being conducted by Educational Testing Service (ETS).

Completed surveys are submitted directly to ETS. Your personal information will be removed from the

data

.

Results of this research will only be reported in aggregate form.

Your responses will not be used in any

way that would allow others to identify you personally or to link your responses with the school or college of

nursing that you attended.

Thank you for contributing to this research. If you have any questions or concerns, please contact the lead

researcher, Senior Research Scientist Catherine M. Millett, Ph.D., at

(609) 734-5866

or at

[email protected]

.

[Select “Yes, I Agree” or “No, I Refuse” to continue.]

General Instructions

This survey is designed to learn about your educational and employment experiences since earning your

nursing degree. We are also interested in your feedback on the preparation you received at [FILL: School or

College of Nursing] and by participating in NCIN program activities.

The NCIN Alumni Survey will take 20 or fewer minutes to complete, depending on your experiences and

comments. You may leave the survey and return to it later. When you want to exit the survey, click SAVE at

the bottom of your screen. A custom link for you to resume the survey from where you saved it will pop

up.

Make sure to keep your new custom survey link so that you will be able to retrieve your responses

when you resume the survey later

.

(3)

Employment

1.

What degree in nursing did you earn while participating in the New Careers in Nursing (NCIN)

scholarship program?

1

Bachelor of Science in Nursing (BSN) Master of Science in Nursing (MSN)

Other (please specify):______________________________

I have not earned my degree yet [GO TO Q61] Prefer not to respond

˜

2. Please enter the month and year that you graduated from your nursing degree program:

2

Month/Year [January – December, 2009 – 2013] ___________________________________

[If RESPONSE = September 2012, October 2012, November 2012, December 2012, or (any month) 2013,

then GO TO Q61]

˜

Prefer not to respond [GO TO Q61]

Work Experiences

3.

Have you accepted a nursing position since completing your nursing degree program?

Yes [GO TO Q4]

No [GO TO Q9]

Prefer not to respond [GO TO Q9]

˜

(4)

Employment

4. We would like to know about the

first nursing position

you took after your nursing degree

program. Please fill in the chart below.

3

Employer ____________________________________________________________

Position Title __________________________________________________________

ZIP Code _____________________________________________________________

Month Started [January – December] _______________________________________

˜

Prefer not to respond

Year Started [2009 – 2013] ____________________________________________

˜

Prefer not to respond

Month Ended: [January – December] ___________________________________

Not applicable Prefer not to respond

˜

Year Ended: [2009 – 2013] ____________________________________________

Not applicable Prefer not to respond

˜

Setting

Hospital (inpatient care)

Hospital, other (e.g., outpatient department) Nursing home/Extended care facility Nursing education program Public/Community health setting School health

Ambulatory care setting (non-hospital) Occupational health (Employee health service) Insurance claims/Benefits

Planning/Licensing agency setting Other Nursing setting

Other Non-nursing setting Prefer not to respond

˜

(5)

Employment

___________________________________________

Primary unit

Intensive care bed unit Step-down, transitional bed unit

General/Specialty (e.g., medical, pediatrics, not: intensive care or step-down) Operating room

Post anesthesia recovery unit Labor/Delivery room Emergency department Home health care Hospice unit Physician’s office

Ambulatory care, non-physician’s office, non-hospital based Outpatient department in a hospital

Nursing home

Non-clinical nursing setting No specific assigned type of area Other area

Prefer not to respond

˜

5. How many offers did you receive for your first nursing position?

6. Knowing what you know now, if you had to decide all over again whether to take your first nursing

position, what would you decide?

4

I would definitely not take the same job I would probably not take the same job I would probably take the same job I would definitely take the same job Prefer not to respond

˜

4 Quality of Employment Survey, 1973–1977. Graham, R.P. & Staines, G.L. (1979). The 1977 Quality of Employment Survey: Ann Arbor, MI: Survey

(6)

Employment

7.

Are you still working in your first nursing

position

?

Yes [GO TO Q14]

No [GO TO Q8]

Prefer not to respond [GO TO Q9]

˜

8.

Why did you leave your first nursing position? Please describe your reasons by selecting all

that apply.

5

Personal and/or family reasons I was laid off or fired

Accepted a promotion Work was too stressful The pay was poor

The fringe benefits were inadequate

There was not enough opportunity to get ahead There was little chance to make decisions about my job I was misinformed about my job

I was not fairly rewarded Quality work was not possible

Too difficult because of workplace constraints My job lacked enough variety

I did not have enough autonomy

There was not enough opportunity to learn new skills Lacked peer support

Lacked mentor support Poor orientation Poor management

Poor physician/RN relationship

To get experience in another clinical area Took recruitment incentive to change jobs Wanted student loan forgiveness eligibility

Wanted to work at a more prestigious organization (e.g., Magnet hospital) Other (please specify): _________________________

Prefer not to respond

5 Newly Licensed RN Surveys, 2006–2013. Kovner, C. & Brewer, C. Unpublished instrument. New York: RN Work Project.

(7)

Employment

9.

Are you currently employed?

Yes, in nursing [GO TO Q13]

Yes, not in nursing [GO TO Q11-12, then Q15]

No [GO TO Q10, then Q16]

Prefer not to respond [GO TO Q16]

˜

10. Which

one

of the following best represents why you are unemployed?

6

I have not been able to find the type of nursing job that I want No entry-level nursing jobs are available in my geographic area A family or personal situation prevents my employment at this time I have returned to or am remaining in school

I don’t want to work in nursing at this time

Other (please specify): _____________________________________ Prefer not to respond

˜

11. Which

one

of the following best represents why you are not working in nursing?

7

I have not been able to find the type of nursing job that I want No entry-level nursing jobs are available in my geographic area I don’t want to work in nursing at this time

Other (please specify): _____________________________________ Prefer not to respond

˜

12. Do you agree or disagree with the statement, I generally look forward to going to work.

8

Disagree Tend to disagree Tend to agree Agree

Prefer not to respond

˜

6-7 Newly Licensed RN Surveys, 2006–2013. Kovner, C. & Brewer, C. Unpublished instrument. New York: RN Work Project. 8 NCIN Student Surveys, 2009–2013. American Association of Colleges of Nursing. Unpublished instrument.

(8)

Employment

13. Please tell us more about your

current position

by completing the chart below.

9

Employer _________________________________________________________

Position Title _______________________________________________________

ZIP Code __________________________________________________________

Month Started [January – December] ____________________________________

˜

Prefer not to respond

Year Started [2009 – 2013] ____________________________________________

˜

Prefer not to respond

Setting

Hospital (inpatient care)

Hospital, other (e.g., outpatient department) Nursing home/Extended care facility Nursing education program Public/Community health setting School health

Ambulatory care setting (non-hospital) Occupational health (Employee health service) Insurance claims/Benefits

Planning/Licensing agency setting Other Nursing setting

Other Non-nursing setting Prefer not to respond

˜

(9)

Employment

Primary unit

Intensive care bed unit Step-down, transitional bed unit

General/Specialty (e.g., medical, pediatrics, not: intensive care or step-down) Operating room

Post anesthesia recovery unit Labor/Delivery room Emergency department Home health care Hospice unit Physician’s office

Ambulatory care, non-physician’s office, non-hospital based Outpatient department in a hospital

Nursing home

Non-clinical nursing setting No specific assigned type of area Other area

Prefer not to respond

˜

14. Please read the following statements and select one response per item that best describes your

feelings about working as a nurse.

10

Disagree disagree Tend to Tend to agree Agree Not to Prefer Respond

I generally look forward to going to work Nursing is a rewarding career

Nursing is less satisfying than I thought it would be I think I will continue in nursing for the rest of my working life

15. Do you currently hold more than one job for pay?

11

Yes, my second job requires a nursing license Yes, my second job does not require a nursing license No

Prefer not to respond

˜

10 NCIN Student Surveys, 2009–2013. American Association of Colleges of Nursing. Unpublished instrument. 11 Newly Licensed RN Surveys, 2006–2013. Kovner, C. & Brewer, C. Unpublished instrument. New York: RN Work Project.

(10)

Employment

16. Have you located any of the nursing positions you have held through individuals from your nursing

degree program?

Yes [GO TO Q17]

No [GO TO Q18]

Not applicable [GO TO Q18]

Prefer not to respond [GO TO Q18]

˜

17. Is/are the individual(s) affiliated with the NCIN program?

Yes No Don’t know Prefer not to respond

˜

18. Are you currently seeking a position in nursing?

Yes [GO TO Q19]

No [GO TO Q20]

Prefer not to respond [GO TO Q20]

˜

(11)

Post–NCIN Education

Strongly Disagree

I aspire to work in health care/nursing administration

I aspire to become a nursing faculty member

I aspire to become an advanced practice nurse

I aspire to work as a staff nurse I aspire to work in clinical research

I aspire to become a health care policymaker I aspire to work in public health or

international nursing

Disagree Agree Strongly Agree Don t Know Not To Prefer Respond

20. Please tell us about your career aspirations by selecting one choice to complete each item below.

Advanced Education

21. Have you enrolled in a graduate degree program since you completed your nursing

degree program?

Yes, full time Yes, part time No

Prefer not to respond

˜

[GO TO Q24] [GO TO Q23]

[GO TO Q22, then Q27] [GO TO Q27]

(12)

Post–NCIN Education

22. If you have

not

pursued any graduate degrees since graduating from your nursing program, please

indicate your reasons below. Select all that apply.

12

Personal/family reasons Too busy with work right now

Not interested in furthering my education

Additional degrees are not necessary for my career goals Salary will not change

Want to gain work experience before returning to school Want to pay down student loans before returning to school Unable to afford an additional degree program at this time There are no graduate programs in my area

Unable to identify a degree program that is right for me Did not gain admission to the program of my choice

Other (please specify): __________________________________ Prefer not to respond

23. If you are pursuing a graduate degree program on

a part-time basis

, please indicate your reasons

below. Select all that apply.

13

Personal/family reasons

Too busy with work right now to attend full-time

Want to gain work experience while pursuing graduate degree Fulfilling work requirement from prior nursing degree program Participate in employer tuition remission program

Need salary to pay student loans/unable to get additional loans Need fringe benefits for self/family

Other (please specify): __________________________________ Prefer not to respond

(13)

Post–NCIN Education

24. Please tell us more about the graduate degrees that you have pursued

since

completing your

nursing program by filling in the chart below.

If you have pursued more than one graduate degree

since your nursing program, please list the first

.

Institution Name ______________________________________________________________

City ________________________________________________________________________

State _______________________________________________________________________

Field of Study ________________________________________________________________

Actual/Expected Graduation Month [January – December] ____________________________

˜

Prefer not to respond

Actual/Expected Graduation Year [2009 – 2016, Later than 2016] ________________________

˜

Prefer not to respond

Degree Pursued MSN MA MS MPH MBA MSW JD MD DNP PhD EdD Other

Prefer not to respond

˜

(14)

Post–NCIN Education

25. Do you have another graduate degree program to add?

Yes [GO TO Q26]

No [GO TO Q27]

˜

26. Please tell us more about the graduate degrees that you have pursued

since

completing your

nursing program by filling in the chart below.

Institution Name ______________________________________________________________

City ________________________________________________________________________

State _______________________________________________________________________

Field of Study ________________________________________________________________

Actual/Expected Graduation Month [January – December] ____________________________

˜

Prefer not to respond

Actual/Expected Graduation Year [2009 – 2016, Later than 2016] ________________________

˜

Prefer not to respond

Degree Pursued MSN MA MS MPH MBA MSW JD MD DNP PhD EdD Other

Prefer not to respond

˜

(15)

Post–NCIN Education

______________________________________________________

______________________________________________________

27. Have you pursued or earned a national specialty certification and/or Nurse Practitioner certification?

Yes [GO TO Q28]

No [GO TO Q33]

Prefer not to respond [GO TO Q33]

˜

28. What specialty certifications are you pursuing and/or have you earned (e.g., CCRN, CNS, CRNA, CNM,

CFNP, CPNP, GNP)?

Currently pursuing Earned

˜

29. Do you have another national specialty certification to add?

Yes [GO TO Q30]

No [GO TO Q33]

˜

30. What specialty certifications are you pursuing and/or have you earned (e.g., CCRN, CNS, CRNA, CNM,

CFNP, CPNP, GNP)?

Currently pursuing Earned

˜

31. Do you have another national specialty certification to add?

Yes [GO TO Q32]

No [GO TO Q33]

(16)

Program Experience

______________________________________________________

Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly

Agree Don t Know ’

Prefer Not To Respond

My nursing degree program gave me a solid base on which to build advanced clinical skills

My nursing degree program prepared me to engage in evidence-based practice My nursing degree program gave me a good understanding of effective teaching practices for nursing education

My nursing degree program provided rigorous nursing content knowledge

My nursing degree program inspired me to want to help educate future nurses

32. What specialty certifications are you pursuing and/or have you earned (e.g., CCRN, CNS, CRNA, CNM,

CFNP, CPNP, GNP)?

Currently pursuing Earned

˜

33. What is the highest degree that you plan to earn?

14

BSN MSN DNP Ph.D.

Other (please specify): _____________________________________ Prefer not to respond

˜

Your Nursing Degree Program

34. Please rate your preparation for a graduate nursing degree program (e.g., MSN, DNP, Ph.D.) by

indicating your agreement with each of the following statements.

(17)

Program Experience

Neither Prefer Strongly Disagree Agree nor Agree Strongly Don t ’ Not To Disagree Disagree Agree Know Respond

My racial/ethnic group’s perspectives were often included in my courses I felt that I was treated fairly there There was too much focus on cultural sensitivity over nursing content Disparaging racial or ethnic remarks were overheard on campus It was easy for me to join a study group

Neither Prefer Very Dissatisfied Satisfied Satisfied Very Not To Dissatisfied nor Satisfied Respond

Dissatisfied

Preparation you received for your nursing career

Quantity of clinical experiences Quality of clinical experiences Socializing with other nursing students outside of class Overall faculty-student relations

35. Below are some statements about the culture of [FILL: School of nursing]. Please indicate your

agreement or disagreement:

36. Looking back, how satisfied are you with [FILL: School or college of nursing] on each of the

following aspects of the academic and student experience?

15

37. If you had to do it over, would you enter an accelerated nursing program?

16

Yes No

Prefer not to respond

˜

(18)

Leadership & Mentoring

Leadership & Mentoring Experiences

38. Please indicate the leadership development activities that

you participated in

during your nursing

degree program.

17

Did Not

Participate Participated Prefer Not To Respond

Leadership courses

Leadership development seminars Community service opportunities Interdisciplinary coursework or projects Advanced coursework

Teaching assistantships Faculty research assistantships

Study abroad/international nursing experiences Competitive grants or scholarships

National student nursing association Clinical specialty nursing association Campus-based nursing associations

39. What leadership roles have you taken on since completing your nursing degree program?

No Yes Prefer Not To Respond

Clinical instructor or preceptor

Leadership development through your employer (in­ cluding training in supervision or management) Presenter or reviewer for professional conferences Officer for professional nursing associations Officer for local nursing groups (including alumni organizations)

Organizer/co-organizer of special events or programs

(19)

Leadership & Mentoring

40. How effective were NCIN and your nursing degree program in preparing you to take on leadership

roles in the nursing profession?

Not effective at all Fairly effective Somewhat effective Effective

Very effective Prefer not to respond

˜

41. While completing your nursing degree program, did you have an individual whom you considered

a mentor?

18

Yes [GO TO Q42]

No [GO TO Q44]

Prefer not to respond [GO TO Q44]

˜

42. Was your mentor/were any of your mentors assigned through the NCIN program?

Yes No Don't know Prefer not to respond

˜

(20)

Leadership & Mentoring

Mixed -

Equally Prefer Completely Mostly Satisfied Mostly Completely Not To Dissatisfied Dissatisfied and Satisfied Satisfied Respond

Dissatisfied

Assisted me in setting professional/career goals Suggested courses, training, or work experiences

Introduced me to others/assisted with professional networking Promoted development of life skills such as stress manage­ ment and setting priorities Supported, inspired, and encouraged me

Provided listening ear/counsel when needed

Continued to support me after graduation

Encouraged me to become a mentor to other nurses Encouraged/supported me to pursue advanced degrees

43. Please rate your satisfaction with your mentor for each of the following mentor roles. Select one

choice per item.

19

44. Have you served as a formal or informal mentor to subsequent students at [FILL: School or college

of nursing]?

Yes [GO TO Q45]

No [GO TO Q46]

Prefer not to respond [GO TO Q46]

˜

45. In your own words, tell us about the experiences that influenced you to become a mentor.

(21)

NCIN Experience

New Careers in Nursing (NCIN) Program

46. Have you spoken with prospective employers and/or graduate school faculty about the

NCIN program?

Yes [GO TO Q47]

No [GO TO Q49]

Prefer not to respond [GO TO Q49]

˜

47. How knowledgeable about NCIN are the prospective employers and/or graduate school faculty or

staff with whom you have spoken?

They have not heard of the NCIN program [GO TO Q49] They have heard about NCIN, but are not familiar with

the program [GO TO Q48]

They know some of the goals or programmatic aspects

of NCIN [GO TO Q48]

They are familiar with the goals and programmatic

aspects of NCIN [GO TO Q48]

Prefer not to respond [GO TO Q49]

˜

48. Overall, how do the prospective employers and/or graduate school faculty or staff with whom you

have spoken view NCIN?

They view the NCIN program very negatively They view the NCIN program negatively They are indifferent to the NCIN program They view the NCIN program positively They view the NCIN program very positively

˜

(22)

NCIN Experience

Prefer

Don t

No Yes know Not To Respond

Alumni networking events Alumni jobs board or listserv

Assistance or training in online networking Resume advice or critique

Mock interviewing

Assistance or training for salary negotiation Career advice for second-degree nurses Continuing education courses or workshops How to ask for letters of recommendation

Prefer

Don t

No Yes know Not To Respond

How to select a nursing graduate program

How to navigate the graduate school application process How to finance a graduate degree

GRE test prep resources

Admissions essay advice or critique How to ask for letters of recommendation

49. If your school offered these workshops or services to help you secure employment, which ones would

you be likely to attend or to use?

50.

If your school offered these workshops or services to help you pursue graduate studies, which ones

would you be likely to attend or to use?

51. If NCIN were only able to offer

two

aspects of the NCIN program, which would you propose as

being most beneficial?

Financial assistance Mentoring activities

Leadership development activities Professional development

Networking contacts or opportunities

Other (please specify): ____________________________ Prefer not to respond

(23)

Finances

52. What suggestions do you have to improve the NCIN program?

Financing Your Education

53. Did you take out federal or private student loans during your nursing degree program(s)?

Yes [GO TO Q54]

No [GO TO Q56]

Prefer not to respond [GO TO Q56]

˜

54. Do you feel that the student loans you took to support your accelerated nursing program were

a worthy investment?

20

Yes No Unsure

Prefer not to respond

55. How much did you borrow for your

nursing degree program

?

21

˜

Less than $5,000 $5,000 - $9,999 $10,000 - $14,999 $15,000 - $19,999 $20,000 - $24,999 $25,000 - $29,999 $30,000 - $39,999 $40,000 - $49,999 $50,000 or more Prefer not to respond

˜

(24)

Finances

56. How much have you borrowed for

all degrees that you have pursued

?

$0 $1 - $5,000 $5,000 - $9,999 $10,000 - $14,999 $15,000 - $19,999 $20,000 - $24,999 $25,000 - $29,999 $30,000 - $39,999 $40,000 - $49,999 $50,000 - $59,999 $60,000 - $69,999 $70, 000 - $79,999 $80,000 - $89,999 $90,000 - $99,999 $100,000 or more Prefer not to respond

˜

57. Are you currently repaying student loans?

[GO TO Q59]

Yes [GO TO Q58]

No [GO TO Q59]

Prefer not to respond [GO TO Q59]

(25)

Finances

58. What is the

approximate total monthly payment

for your student loans? Please include all

student loans that you are currently repaying, not just those from your nursing degree program.

Less than $100 per month $100 - $199 per month $200 - $299 per month $300 - $399 per month $400 - $499 per month $500 - $599 per month $600 - $699 per month $700 - $799 per month $800 - $899 per month $900 - $999 per month $1,000 or more per month Prefer not to respond

˜

59. Have you participated in any programs

that include a work requirement

to help finance

your nursing degree program?

Yes, I enrolled prior to entering my nursing program [GO TO Q60] Yes, I enrolled during my nursing degree program [GO TO Q60] Yes, I signed up after completing my nursing program [GO TO Q60]

No [GO TO Q61]

Prefer not to respond [GO TO Q61]

˜

60. Who sponsors the financial support program(s) that you have participated in? Please select

all that apply.

Private health care organization/employer

Nursing Education Loan Repayment Program (HRSA) National Health Service Corps

Military/ Veteran’s Administration

State student loan forgiveness program for nurses Other (please specify): ____________________________ Don’t know

Prefer not to respond

(26)

Demographics

Demographics

61. Please enter the ZIP Code where you currently reside: ____________________

62. Are you able to relocate for career or educational opportunities in nursing?

Yes, I am able to relocate

I would prefer not to move, but could if necessary It would be very difficult for me to relocate right now Prefer not to respond

˜

63. What is your current marital status? Please select one response.

Married (or domestic partnership) Divorced or separated

Widowed Never married Prefer not to respond

˜

64. How old are the children who live at home with you? (Include all children who lived with you for

a total of 6 months or more during the past 12 months)

No children or no children living at home All less than 6 years old

All 6 years or older

Some less than 6 and some 6 or over Prefer not to respond

(27)

Demographics

65. What degrees have you earned since completing high school? Please select all degrees that you

have completed to date.

Associate’s degree Bachelor’s degree Master’s degree Law Degree (JD) Medical Doctorate (MD) Doctor of Philosophy (Ph.D.)

Other (please specify): __________________ Prefer not to respond

66. Has either of your parents earned a 4-year college degree?

Yes No

Prefer not to respond

˜

67. Roughly, what is your total yearly income from your primary position (including overtime) before

taxes and other deductions?

$ _______________ [GO TO Q68]

No income [GO TO Q68]

Prefer not to respond [GO TO Q67a]

˜

(28)

Demographics

67a. Some people are more comfortable providing income information in ranges. Last year, what

was your total income from your primary position (including overtime), before taxes and other

deductions?

Less than $20,000 $20,000 to less than $30,000 $30,000 to less than $40,000 $40,000 to less than $50,000 $50,000 to less than $75,000 $75,000 to less than $90,000 $90,000 to less than $100,000 $100,000 or more Don’t know Prefer not to respond

˜

68. What is the month and year of your birth?

Month [January – December] _____________________________

˜

Prefer not to respond

Year [1930 – 1999] ______________________________________

˜

Prefer not to respond

69. What is your gender?

Male Female

Prefer not to respond

˜

70. What is your ethnic background?

Hispanic or Latino/a Not Hispanic or Latino/a Prefer not to respond

˜

(29)

Demographics

71. Do you consider yourself? Please select all that apply.

Black or African American American Indian or Alaskan Native Asian or Asian American

Native Hawaiian or Other Pacific Islander White or Caucasian

Other

Prefer not to respond

[GO TO PAGE 29:

FOLLOW-UP SURVEYS

]

72. Are you still enrolled in the nursing degree program for which you received an NCIN scholarship?

Yes No

Prefer not to respond

˜

[GO TO Q73]

[GO TO PAGE 29: FOLLOW-UP SURVEYS] [GO TO PAGE 29: FOLLOW-UP SURVEYS]

73. Please enter the month and year that you expect to graduate from your nursing degree program:

Month [January – December] _____________________________

˜

Prefer not to respond

Year [2013, 2014, 2015, 2016, Later than 2016] ________________

˜

Prefer not to respond

74. What degree in nursing are you earning while participating in the New Careers in Nursing (NCIN)

scholarship program?

Bachelor of Science in Nursing (BSN) Master of Science in Nursing (MSN)

Other (Please specify): _____________________________ Prefer not to respond

(30)

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

Follow-up Surveys

The Robert Wood Johnson Foundation and the American Association of Colleges of Nursing would like

to keep in contact with you over the course of your nursing career. We would like to update your information

to help us communicate with you in the future. This is important to continue to follow-up with NCIN

Scholars to learn about your continuing educational and career achievements.

Your First Name

Middle Name

Last Name

Street Address

City

State

ZIP Code

Preferred Email Address

Phone Number (please include area code)

Next, please provide names, permanent addresses, email addresses and phone numbers for two close relatives

who will know your whereabouts in the future.

This information will only be used to help locate you to request

continued participation in the study. It is strictly confidential and will never be reported. Only the researchers

conducting the study will have access to this information.

First Person’s First Name

Middle Name

Last Name

Street Address

City

State

ZIP Code

Email Address

(31)

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

Second Person’s First Name

Middle Name

Last Name

Street Address

City

State

ZIP Code

Email Address

Phone Number (please include area code)

THANK YOU!

Thank you again for taking the time to share your post-degree experiences and program reflections in this research.

Receiving your feedback provides valuable insights and the capability to assess what NCIN is doing well, and where

improvement would better support new nurses like you.

You will receive a follow-up email early next week containing information to order the gift card of your choice on

giftcertificates.com.

Stay connected with NCIN on Facebook

http://www.facebook.com/NewCareersinNursing

and check out the

BRAND NEW scholar site made exclusively for your use at

http://ncinscholarsnetwork.org/

.

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Support for this research is provided by a grant from the Robert Wood Johnson Foundation.

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