The Male Success Initiative (MSI) is an enrichment program for male students of color at Governors State University, providing opportunities for professional, academic, and personal development. The MSI helps participants develop a game plan for success from orientation to graduation.

Question Title

* 1. Contact Information

Question Title

* 2. Please indicate your ethnicity:

Question Title

* 3. Cell Phone Number

Question Title

* 4. Are you registered for the Spring 2019 term at GSU?

Question Title

* 5. If you are registered, how many credit hours are you registered for?

Question Title

* 6. Major:

Question Title

* 7. Minor:

Question Title

* 8. GPA (for returning students only):

Question Title

* 9. Please indicate your academic classification:

Question Title

* 10. Are you a Dual Degree Program transfer Student
(The Dual Degree program is for community college students who complete their Associate Degree at their respective community college and then transfer to a university (Governors State). DDP transfer students are formally accepted into the program before transfer.)

Question Title

* 11. Please select one option below:

Question Title

* 12. What is your employment status?

Question Title

* 13. If employed, how many hours do you work per week (average)?

Question Title

* 14. List on-campus activities and student organizations you have participated in (high school or community college, previous or present):

Question Title

* 15. Please indicate the areas of particular interest to YOU (click all that apply)

Question Title

* 16. Please write a brief statement highlighting your interest in the Male Success Initiative (150 words maximum):

Thank you for registering for the Male Success Initiative at Governors State University!



Join the MSI text messaging app by texting @msigsu to 81010. You will receive an immediate reply requesting additional information to complete your registration. You will then begin to receive text message updates and reminders about miscellaneous MSI activities, as well as any relevant GSU announcements.

T