FORM 4-SREB
PROFILE OF DOCTORAL STUDENT RECRUITMENT, ADMISSION, RETENTION AND SUPPORT

A. 	Five-Year Recruitment and Admissions Data for Doctoral-Level Students

Academic Year	# of Applications to Graduate Program	# Accepted
	# Enrolled	
2014-15	Total: 
U.S.*:
U.S. URM**:  	Total: 
U.S.*:
U.S. URM**:  	Total: 
U.S.*:
U.S. URM**:  	
2013-14	Total: 
U.S.*:
U.S. URM**:  	Total: 
U.S.*:
U.S. URM**:  	Total: 
U.S.*:
U.S. URM**:  	
2012-13	Total: 
U.S.*:
U.S. URM**:  	Total: 
U.S.*:
U.S. URM**:  	Total: 
U.S.*:
U.S. URM**:  	
2011-12	Total: 
U.S.*:
U.S. URM**:  	Total: 
U.S.*:
U.S. URM**:  	Total: 
U.S.*:
U.S. URM**:  	
2010-11	Total: 
U.S.*:
U.S. URM**:  	Total: 
U.S.*:
U.S. URM**:  	Total: 
U.S.*:
U.S. URM**:  	
* 	Includes U.S. citizens and permanent residents
** 	Underrepresented minority. In the box below, provide a statement that defines “underrepresented minority” for the purposes of this application.

Definition of “Underrepresented Minority”: 

	

B.	Five-Year Retention Data for Doctoral-Level Students

Academic Year (AY)	# of students enrolled in the fall semester of the listed AY	# graduated in the AY with the degree intended	# left the program in the AY without the intended degree*	# continuing in the program at the end of the AY	
2014-15	Total: 
U.S.:
U.S. URM:  	Total: 
U.S.:
U.S. URM:  	Total: 
U.S.:
U.S. URM:  	Total: 
U.S.:
U.S. URM:  	
2013-14	Total: 
U.S.:
U.S. URM:  	Total: 
U.S.:
U.S. URM:  	Total: 
U.S.:
U.S. URM:  	Total: 
U.S.:
U.S. URM:  	
2012-13	Total: 
U.S.:
U.S. URM:  	Total: 
U.S.:
U.S. URM:  	Total: 
U.S.:
U.S. URM:  	Total: 
U.S.:
U.S. URM:  	
2011-12	Total: 
U.S.:
U.S. URM:  	Total: 
U.S.:
U.S. URM:  	Total: 
U.S.:
U.S. URM:  	Total: 
U.S.:
U.S. URM:  	
2010-11	Total: 
U.S.:
U.S. URM:  	Total: 
U.S.:
U.S. URM:  	Total: 
U.S.:
U.S. URM:  	Total: 
U.S.:
U.S. URM:  	
*	Include both students who left without a degree and those who received a degree, but not at the intended level (e.g., doctoral students who received master’s degrees), and left the program.	 

C.	Student Support: For the 2015-16 academic year only, provide an overview of the types and levels of support granted to the entering class of doctoral students  

# of Students 	External Fellowships (NIH, etc.)	Institutional/
Department
Fellowships 
	Teaching Assistantships	Research Assistantships	Other (Specify)	
Total matriculated:
# receiving support: 

	# of students:
Range of awards: 
$	# of students:
Range of awards: 
$	# of students:
Range of awards: 
$	# of students:
Range of awards: 
$	# of students:
Range of awards: 
$	

FORM 5-SREB
	PREVIOUS AWARDS RECEIVED UNDER THE BoR/SREB GRADUATE FELLOWSHIPS SUBPROGRAM
	
1.	Provide the following information for each BoR/SREB Graduate Fellowships contract the campus has received to date.  Do not provide information for individual fellowship recipients, but for each Board of Regents contract.

CONTRACT NUMBER	
NUMBER OF FELLOWSHIPS IN CONTRACT	
NUMBER OF FELLOWSHIPS 
FILLED*	
STATUS OF FELLOWSHIP RECIPIENTS
(# GRADUATED, DROPPED, STILL IN PROGRAM)	
FIRST PLACEMENT AFTER GRADUATION
(# OF FELLOWSHIP RECIPIENTS EMPLOYED IN THE INDICATED CATEGORIES)	
			Graduated:
Dropped:
Still in Program:	Academia in Field: 
Public Sector in Field: 
Private Sector in Field: 
Out of Field: 
Unknown:	
			Graduated:
Dropped:
Still in Program:	Academia in Field: 
Public Sector in Field: 
Private Sector in Field: 
Out of Field: 
Unknown:	
			Graduated:
Dropped:
Still in Program:	Academia in Field: 
Public Sector in Field: 
Private Sector in Field: 
Out of Field: 
Unknown:	
			Graduated:
Dropped:
Still in Program:	Academia in Field: 
Public Sector in Field: 
Private Sector in Field: 
Out of Field: 
Unknown:	
			Graduated:
Dropped:
Still in Program:	Academia in Field: 
Public Sector in Field: 
Private Sector in Field: 
Out of Field: 
Unknown:	
			Graduated:
Dropped:
Still in Program:	Academia in Field: 
Public Sector in Field: 
Private Sector in Field: 
Out of Field: 
Unknown:	
*Provide an explanation for any unfilled awards.