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!

* 1. Please enter your

* 2. I primarily attend:

* 3. I am a:

* 4. I primarily attend:

* 5. I am proficient in the English language:

* 6. I have a disability:

* 7. I am a:

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

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

* 10. I

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