Questionnaire

1. How well do you know the student?

Don’t know

Not well

Very well

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1-A. Under what circumstances did you get to know the student best?

1-B. If you do know the student, how did you first get to know her or him?

1-C. If you do not know the student, why do you think that is the case?

2. In your opinion, was Yale College a good match for this student?

Don’t know

Not at all

Very good

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3. In your opinion, did the student take advantage of the resources available to him or her

at Yale?

Don’t know

Not at all

Very well

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3-A. Which resources in particular did the student take advantage of? Check all that apply.

___ Academic ___ Athletics

___ Residential college ___ Ethnic, religious

___ Music ___ community service

___ Drama or film ___ other (please specify):

_________________

4. To the best of your knowledge, were there special circumstances or conditions that put unusual stress on this student while at Yale?

1. Yes ___ 2. No ___

4-A. Please describe (e.g. medical illness or disability, changes in the family’s circumstances, sexual orientation issues).

4-B. Were these circumstances or conditions acute/traumatic or ongoing / chronic?

4-C. At what moments, or seasons, in the student’s career did these stresses affect the student?

5. How would you rate the student’s ability to cope with stress while at Yale?

Don’t know

Poor

Excellent

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5-A. If to your knowledge, the student’s ability to cope with stress changed over the student’s time at Yale, describe this change and the circumstances that to the best of your knowledge led to the change.

5-B. To the best of your knowledge, did the student ever get counseling for emotional problems? With whom (peer counselors, Mental Hygiene, chaplain, other?)

6. Which of the following best characterized the pattern of the student’s academic career?

___ Even performance at a high level

___ Even performance at a satisfactory level

___ Even performance at a low level

___ Rise: from a rough start to a much improved finish

___ Decline: from a strong start to a poorer finish

___ Uneven: inconsistent

6-A. Why do you think that the student’s performance took the shape it did?

7. How well did the student’s pre-college record of standardized test scores predict his or

her level of academic success at Yale?

Don’t know

Not well

Very well

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8. How well did the student’s high-school academic record (GPA, rank in class, etc.)

predict his or her level of academic success at Yale?

Don’t know

Not well

Very well

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9. Did your office ever receive a commendation from an instructor for exceptional performance by the student?

1. Yes ___ 2. No ___

9-A. If so, when?

9-B. Did your office ever receive a note warning that the student is in academic difficulty in the course?

1. Yes ___ 2. No ___

10. Did the student earn Distinction in the Major?

1. Yes ___ 2. No ___

10-A. Check for any special degrees the student received:

___ summa cum laude

___ magna cum laude

___ cum laude

___ rite

11. Did the student ever receive permission from your office to make use of the Yale College tutoring program as a tutee?

1. Yes ___ 2. No ___

11-A. In which term?

11-B. For what courses?

11-C. To the best of your knowledge, did the student ever serve as a peer tutor, computing assistant, or in any other way in the employ of an academic support service at Yale?

12. By term, how many Dean’s excuses, Temporary Incompletes, and ABXes did the student receive each term?

	Fall 1998	Spring 1999	Fall 1999	Spring 2000	Fall 2000	Spring 2001	Fall 2001	Spring 2002
Dean’s Excuse
Temporary Incomplete
ABXes

12-A. How would you characterize the most frequent reason for which the student received these extensions?

13. Looking at the half-sheets and other documents in the file from the Committee on Honors and Academic Standing and similar offices, list and date (by term) the number of each of the following actions that were taken on behalf of the student:

Actions	Number of Actions	Terms	Notes
Leave of Absence
Withdrawal			List type: medical / disciplinary / academic / personal / financial
Promotion Hold
Academic Warning
Two majors
Double credit for a single credit course
Permission to take a schedule with 3 credits
Permission to take a schedule with 6 credits
Permission to take a schedule with more than 6 credits
Permission to take a graduate or professional school course
Simultaneous Award of the Bachelor’s and Master’s Degrees
Permission to add a course to the schedule after the Course Selection Period
Permission to extend some other deadline			Specify Action:
Permission to go on a JTA or JYA			did the student then go on JTA?
Permission to transfer outside credit from another university
Acceleration / deceleration			describe pattern
Other special permissions			specify

14. Has the student ever been disciplined by a Yale official or committee?

1. Yes ___ 2. No ___

14-A. If yes, what was the nature of the offense?

14-B. At what stage in the student’s career did the disciplinary action take place?

14-C. What was the official outcome (i.e. probation, reprimand, fine)?

14-D. What was the student’s response to the experience of being disciplined?

15. Did the student open a letter of recommendation file in your office? (check also with Teacher Prep and the Pre-Medical Service at UCS, if relevant)

1. Yes ___ 2. No ___

15-A. If so, how many letters are in the file?

15-B. What are the dates of the letters?

15-C. Check all appropriate people who have written a letter of recommendation:

___ The Master

___ The Residential College Dean

___ A member of the Yale College Dean’s Office (assistant or associate dean)

15-D. How many letters are written from the following people:

___ Tenured faculty (other than the Master)

___ Untenured ladder faculty

___ Non-ladder faculty

___ A Teaching Fellow or other graduate student instructor

___ Other Yale staff members (coaches, chaplains, etc.)

16. Is there a record of the student’s having held an on-campus job during term-time?

1. Yes ___ 2. No ___

16-A. What was the nature of the employment? Which terms?

17. As far as you know, was the student active in extracurricular student organizations?

1. Yes ___ 2. No ___

17-A. Which ones?

17-B. Did the student hold office, to your knowledge, in any of these organizations? Please describe.

18. What interests did the student list on the Housing Form submitted in the summer before Freshman year?

18-A. To the best of your knowledge, how accurate did these turn out to be as an indicator of the student’s activities at Yale?

Don’t know

Not at all accurate

Very accurate

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19. List the fellowships, prizes, and awards that the student won, with the term in which they were awarded and the reason for which they were given.

Fellowship, Prize or Award Term Reason Given

20. Did the student file a résumé with UCS?

1. Yes ___ 2. No ___

20-A. When?

20-B. What record is there at UCS of the student’s having signed up for employment/recruitment interviews?

20-C. If it is known, for what purpose (summer employment, post-college employment, etc.)

21. Did the student post a personal home page on the Yale web server?

1. Yes ___ 2. No ___