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Fall 2020 UMES- Student Withdraw Interview
University of Maryland Eastern Shore
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1.
Student Name:
(Required.)
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2.
UMES Student ID:
(Required.)
*
3.
Contact Number:
(Required.)
*
4.
Email:
(Required.)
*
5.
Gender:
(Required.)
Male
Female
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6.
Race/Ethnicity:
(Required.)
African American/Black
Latino/Hispanic
White, Non-Hispanic
Asian/Pacific Islander
Native American
Multi-cultural/multi-ethnic
Other (please specify)
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7.
Enrollment Status:
(Required.)
Full-Time
Part-Time
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8.
Student Status:
(Required.)
On-Campus Housing
Commuter
Transfer
International
Non-Traditional
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9.
Classification:
(Required.)
Freshman
Sophomore
Junior
Senior
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10.
Major:
(Required.)
*
11.
Please rate the following categories
(Required.)
4= Excellent
3= Good
2= Average
1= Poor
Residence Life
4= Excellent
3= Good
2= Average
1= Poor
Service from staff
4= Excellent
3= Good
2= Average
1= Poor
Dining Services
4= Excellent
3= Good
2= Average
1= Poor
Faculty
4= Excellent
3= Good
2= Average
1= Poor
Overall Customer Service
4= Excellent
3= Good
2= Average
1= Poor
Overall Experience
4= Excellent
3= Good
2= Average
1= Poor
Campus Life
4= Excellent
3= Good
2= Average
1= Poor
Academic Advising
4= Excellent
3= Good
2= Average
1= Poor
*
12.
Were you involved in any campus life activities?
(Required.)
Yes
No
13.
Personal reasons you are leaving the institution:
Family matters
Health (Illness)
Mental Health
Personal Reasons
Family matters
Health (Illness)
Mental Health
Other (please specify)
14.
Financial reasons you are leaving the institution:
Not enough financial aid
Personal debt management
Need to work full-time
Could not afford to buy books needed for classes
Financial Reasons
Not enough financial aid
Personal debt management
Need to work full-time
Could not afford to buy books needed for classes
Other (please specify)
15.
Academic reasons you are leaving the institution:
Academic rigor (classes were too difficult)
Not prepared for college at this time
Decided not to pursue a Bachelor's
Major not offered
Decided to pursue education elsewhere
Did not have access to books
Difficulties with Online Courses
Academic Reasons
Academic rigor (classes were too difficult)
Not prepared for college at this time
Decided not to pursue a Bachelor's
Major not offered
Decided to pursue education elsewhere
Did not have access to books
Difficulties with Online Courses
Other (please specify)
16.
Institutional Climate/Environmental Factors for leaving the institution:
Poor treatment by office staff on campus
Poor treatment by faculty
Professors were inaccessible/non-responsive
Felt shuffled around campus without concerns being met
Overall lack of support on campus
Institutional Climate/ Enviromental Factors
Poor treatment by office staff on campus
Poor treatment by faculty
Professors were inaccessible/non-responsive
Felt shuffled around campus without concerns being met
Overall lack of support on campus
Other (please specify)
Current Progress,
0 of 16 answered