Needs Assessment

The following Needs Assessment Survey has been designed to assess your college's need for a Bridge program. To get in touch with our team and discuss the possibility of developing a Bridge program at your college, fill out the form below. .

Contact information

Name: *

Title: *

Email address: *

Phone number: *

Mailing address

Institution: *

Department:

Mail stop or building:

Address, line 1: *

Address, line 2:

City: *

State: *

Program Goals

Describe your Biotech program (number of classes, certificates, degrees, students served): *

Your objectives if adopting the B2B: *

Increase access to STEM disciplines

Increase diversity in your Biotech program

Increase retention of students in your Biotech program

Increase success rates in your Biotech program

Increase completion of the Biotech certificates and degrees at your college

Your interest in the B2B: *

Math, Science and/or English curriculum content

Using contextualized teaching and learning communities to improve outcomes

Other tools the Bridge to Biotech program has been using to improve outcomes as part of its model

Outreach methods used in the Bridge to Biotech program

The Bridge to Biotech's Internship program

Other

How did you learn about the Bridge to Biotech program?: *

B2B-type programs at your college

B2B-type program: *

Our college currently runs a program with similar goals to the Bridge to Biotech program

Our college used to run a program with similar goals to the Bridge to Biotech program

Our college has never had a program like the Bridge to Biotech

Your level of satisfaction for your local B2B program:

	Satisfactory	Could be improved	Unsatisfactory
Diversity (minorities, gender, age, economic status, education levels)
Retention (low proportion of students dropping out before completing the program)
Completion (high proportion of students successfully completing the program)
Continuation (high proportion of students continuing on to college-level STEM disciplines)
Success in gatekeeper classes for STEM disciplines at your college

Job preparation component of local B2B:

Our Biotech program offers internship opportunities and placement support to students

Our Biotech program offers job opportunities and placement support to students

Our Biotech program offers other industry experience components

Specific issues with local B2B program:

Adapting the B2B at your college

Funding source for the B2B: *

The college has funding for developing and implementing the B2B program

The development and implementation of the B2B can easily be institutionalized

We have a grant application in the pipeline for this type of project

We do not have any funding to allow us to develop and run the B2B

Planned B2B launch date at your campus: *

Fall 2012

Spring 2013

Fall 2013 or later

What gatekeeper courses would the B2B prepare for?: *

Your future B2B team (names and roles): *

Describe the students who would benefit from the program (ethnicity, gender, income level,...). : *

Briefly describe your outreach plan.: *

List administrators, deans and chair persons who will support the development of the B2B: *

Word verification: * (verify using audio)

Type the characters you see in the picture above; if you can't read them, submit the form and a new image will be generated. Not case sensitive.