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Please select your gender:
 
Male
 
Female
 
 
 
What is your ethnicity?
 
White
 
Hispanic
 
African American
 
Native American
 
Asian
 
Other
 
Decline to state
 
 
 
Which of the following closest represents your age?
 
Under 18
 
18-20
 
21-24
 
25-30
 
30+
 
 
 
What kind of college do you currently attend?
 
Private
 
State University
 
Public Tech
 
Community/Two-year
 
Other
 
 
 
Would you consider yourself a transfer student?
 
Yes, from a community college
 
Yes, from another four-year university
 
No
 
 
 
Select your class level:
 
Freshman
 
Sophomore
 
Junior
 
Senior/Super Senior
 
Graduate
 
 
 
Are you a part time or full time student?
 
Part time
 
Full time
 
 
 
Are you receiving student aid? (Check all that apply)
 
Grant, federal
 
Grant, state
 
Grant, private
 
Scholarship
 
Veterans benefit
 
Student loan
 
Other

 
 
 
Highest college degree attained:
 
None
 
Associates
 
Bachelors
 
Masters
 
Doctorate
 
Post-doctorate
 
 
 
Did you or have you ever taken time off during school? If so, how long?
 
Less than one year
 
One to two years
 
Two to five years
 
Five to ten years
 
More than ten years