Southwestern Student Questionnaire

This survey is to be completed by students enrolling at Southwestern for the Fall 2017 semester.

This survey is for all part-time and full-time students!

Please enter your

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* 1. Please enter your

I primarily attend:

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* 2. I primarily attend:

I am a:

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* 3. I am a:

I primarily attend:

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* 4. I primarily attend:

I am proficient in the English language:

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* 5. I am proficient in the English language:

I have a disability:

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* 6. I have a disability:

I am a:

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* 7. I am a:

If you are a returning student has your goal changed since you first enrolled.

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* 8. If you are a returning student has your goal changed since you first enrolled.

Please mark one item that BEST describes your current goal.

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* 9. Please mark one item that BEST describes your current goal.

I

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* 10. I

My PRIMARY (select only one answer) source of funding for attending Southwestern will be:

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* 11. My PRIMARY (select only one answer) source of funding for attending Southwestern will be:

T