FPCC STUDENT PROFILE FALL 2015

Please complete the Student Profile below. Information from the survey is reported only in summary form.

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1. Please enter your student ID number and your Full Name (this information is collected for data analysis only and will be kept confidential.)

Student ID

Last Name, First Name

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2. Is this your first enrollment as a student at FPCC?

yes

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3. Check the response that best describes your student status.

full-time, degree-seeking student

part-time degree-seeking student

part-time, non-degree student

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4. Please check your age group below

16-24

25-34

35-49

50-64

65 and older

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5. Check the response that describes your current family.

single, no children

single with dependent children

married, no children

married with dependent children

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6. Are you responsible for an elderly family member in your home?

Yes

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7. Please answer the following questions.

	Yes	No	Don't know
Did your mother or father attend college, university or post-secondary vocational school?	Did your mother or father attend college, university or post-secondary vocational school? Yes	Did your mother or father attend college, university or post-secondary vocational school? No	Did your mother or father attend college, university or post-secondary vocational school? Don't know
Did either your mother of father receive a Bachelor degree or above BEFORE you turned 18 years of age?	Did either your mother of father receive a Bachelor degree or above BEFORE you turned 18 years of age? Yes	Did either your mother of father receive a Bachelor degree or above BEFORE you turned 18 years of age? No	Did either your mother of father receive a Bachelor degree or above BEFORE you turned 18 years of age? Don't know

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8. What is your current employment status?

Employed full-time

Employed part-time

Self-employed

Not employed

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9. Do you have a physical disability that is NOT corrected by prescription lenses, hearing aid or other devices?

Visually impaired

Hearing impaired

Speech impaired

Limited mobility

Other impairment

No physical impairment

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10. Educational Barriers. (Does any of the following apply to you)? "Limited English Proficiency. Do you have an imperfect ability to listen, think, speak, read, write, spell or to do mathematical calculations. Includes such conditions as perceptual handicaps, brain injury, minimal brain dysfunction, dyslexia, and developmental aphasics."

Yes

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11. Economically Disadvantaged. (Does any of the following apply to you according to the following definition?) "A student whose family income is at or below the national poverty level, a student (or parents) who is unemployed, on public assistance, or under state guardianship or is institutionalized and who requires special services, or programs, in order to succeed in a vocational program."

Yes

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12. Displaced Homemaker. (Does any of the following apply to you)? "An individual who has worked primarily without remuneration (paid/compensation) to care for a home and family, and for that reason, has diminished marketable skills; or has been dependent on the income of another family member but is no longer supported by the income; or is a parent whose youngest dependent child will become ineligible to receive assistance under the Social Security Act; and is unemployed and is experiencing difficulty in obtaining or upgrading employment."

Yes

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13. What was your educational status when you first enrolled at FPCC?

High School Graduate

Early Entry as high school student

attended high school but did not graduate

transferred from another college

completed General Education Development (GED)

attained a Post Secondary Degree

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14. What is your current financial aid status?

Receiving Pell Grant

Applied for Pell Grant

Higher Education or Vocational Grant

Vocational Rehabilitation

Other Financial Aid

No Funding

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15. What is your academic or vocational program?

Associate Degree (Academic)

Associate Degree (Vocational)

Certificate

Non Degree

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16. Are you a Veteran?

Yes

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17. Please check the Native American languages you speak.

Nakota (Assiniboine)

Dakota (Sioux)

Lakota (Sioux)

Other

None

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18. If you speak a Native Language, what is your degree of proficiency?

basic

intermediate

advanced

fluent

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19. Have you ever participated in a Head Start Program as a student or parent volunteer?

Yes

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20. Have you taken a college level course during your junior or senior year in high school?

Yes