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Admissions Survey
Personal Information
First Name:
A value is required.
Last Name:
A value is required.
Email Address:
Enter a valid email address.
Enter a valid email address.
Phone Number:
Enter your phone number.
Enter your phone number.
Survey Questions
1.
Where do you plan to take most of your classes this semester?
Online
Face-to-Face
Combination
Please make a selection.
2.
How certain are you about your career goal?
Not Certain
Kind of Certain
Undecided
Certain
Very Certain
Please make a selection.
3.
How certain are you about your major?
Not Certain
Kind of Certain
Undecided
Certain
Very Certain
Please make a selectio
4.
How many hours per week do you plan to work while enrolled in classes?
Enter a whole number.
Enter a whole number.
5.
Do you provide frequent care for individuals other than yourself (children, siblings, parents, spouse, etc.)?
Yes
No
Please make a selection.
6.
Did either of your parents go to college?
Mother?
Yes
No
Please make a selection.
Father?
Yes
No
Please make a selection.
7.
What is the primary language that you speak?
A value is required.
8.
How would you rate your past experience in mathematics?
Very bad
Bad
OK
Good
Excellent
Please make a selection.
9.
How would you rate your past experience in Reading ?
Very bad
Bad
OK
Good
Excellent
Please make a selection.
10.
How would you rate your past experience in Writing?
Very bad
Bad
OK
Good
Excellent
Please make a selection.
11.
How would you rate your past experience in Science?
Very bad
Bad
OK
Good
Excellent
Please make a selection.
12.
How confident are you in your ability to use a computer to complete assignments?
Very bad
Bad
OK
Good
Excellent
Please make a selection.
13.
Do you have reliable internet service at home?
Yes
No
Please make a selection.
14.
What type of computer do you have at home (select all that apply)?
Desktop
Laptop
Phone
Tablet
15.
How are you planning to pay for college (select all that apply)?
GI Bill/Veteran
Financial Aid
Loans
Other
Please make a selection.
16.
When you have to come to campus for class, how will you typically get there?
Drive Myself
Public Transportation
Ride with Someone
Other
Please make a selection.
17.
How much flexibility do you have in your schedule to increase your study time if needed?
None
A little
Some
A lot
All the time I need
Please make a selection.
18.
Which of the following services would you like information about before you begin classes?
Athletics
Career Services
Child Care
Computer Help
Coaching
Counseling
Disability Support
Financial Aid
First-generation Student Support
Library
Off Campus Services (food)
Off Campus Services (housing)
Student Clubs
Tutoring
Veterans Services
Work-study Employment
Other