Student Experience Survey

Northwestern University Home

Print This Page

Student Programs & Professional Development

Academic & Career Counseling

Research & Funding Opportunities

Residency Application Process

Student Senate & Organizations

Housing Resources

Additional Resources

Student Programs Staff

Emergency Contact Info

Student Experience Survey

Please share your summer or long-term research, internship, preceptorship or other extra-academic experience! Complete the survey below:

Name«
Class Year
Type of Program:«
Other Type of Program please describe
Name of Program«
Program Location« If program was conducted on campus list specific location on campus
Name & Title of Mentor/Supervisor«
Year Participated« Start/End Dates
Funding Amount Awarded to Participate?«
What Interested You About This Program?«
What Type of Activities Did You Do While Participating in This Program?«
What Did You Learn from Participating in this Program? What Impact Do You Believe This Experience Has Had on Your Medical Training and How Will This Enhance Your Medical Career?«
How Did Your Mentor, Coordinator and/or Project Supervisior Support Your Experience in This Program?«
Has Your Participation In This Program Resulted in any Publications?
Would You Recommend This Program to Other Students?«	[ Yes ] [ No ]
What Suggestions Would You Give to Other Students Interested In Applying/Participating in this Program?«
Please list your e-mail Address for other Feinberg students to contact you about this program:«
Fields marked with "«" are required.