End of Semester Survey - Spring 2012

1. Copy of page: Spring 2012 End of Semester/Quarter Survey: Basic Info

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Please share with us your successes and challenges of the past semester/quarter, so we may better support your activism in the future, stay in better touch and spread your ideas and activism.

This survey should only take a few minutes - we appreciate your input and thank you for a wonderful spring! Please call us at 703-522-2214 (East Coast) or 310-556-2500 (West Coast) if you have any questions, or email your campus organizer directly. Thank you again!

Question Title

* 1. Please provide your group information:

Name of Group

Name of School/Campus

City and State of Campus

Group Email (optional)

Group Website (optional)

Group Facebook Page (optional)

Group Twitter (optional)

Question Title

* 2. Please provide your contact information:

Name

Position

Phone Number

Mailing Address

Graduation Year

Facebook (optional)

Twitter (optional)

Question Title

* 3. Please list the contact information for the person(s) in leadership for the Fall 2012 semester (if different from above):

Name

Position

Phone Number

Mailing Address

Graduation Year

Facebook (optional)

Twitter (optional)

Question Title

* 4. Do you have a supportive faculty member or team of faculty members advising your group? Please list their contact information below!

Faculty Advisor #1 Name

Faculty Advisor #1 Department

Faculty Advisor #1 Email

Faculty Advisor #1 Phone Number

Faculty Advisor #2 Name

Faculty Advisor #2 Department

Faculty Advisor #2 Email

Faculty Advisor #2 Phone Number