Special Population/ Non-Traditional Needs Assessment

Dacc.edu

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* 1. Name:

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* 2. Student ID#

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* 3. Email:

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* 4. Please indicate the highest level of learning you've completed to date:

High School Diploma

GED of Equivalent

Associates Degree

Certificate

Bachelor Degree

Other (please specify)

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* 5. Please indicate the primary language used in your household:

English

Spanish

French

Other (please specify)

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* 6. Please indicate whether you are:

Single

Married

Separated

Divorced

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* 7. Please specify which one you closely associate to:

White

Hispanic/ Latino

African American

Asian/ Pacific

Other (please specify)

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* 8. Please indicate the following:

No Children

1 Child

2 or more children

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* 9. Do you know about Trio? Please check all that apply:

Yes

I would like to receive more information about Trio and their services!

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* 10. Have you visited the Writing Center? Please check all that apply:

Yes

I would like to receive more information about the Writing Center and their services!

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* 11. Do you know about MASS Tutoring and or General Tutoring? Please check all that apply:

Yes

I would like to receive more information about MASS Tutoring and their services!

I would like to receive more information about General Tutoring and their services!

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* 12. Do you know about Career Services? Please check all that apply:

Yes

I would like to find out more information about Career Services!

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* 13. Do you know about Disability Services? Please check all that apply:

If no, would you like to receive more information about Disability Services and what they offer?

Yes

If yes, do you receive educational accommodations?

Special Population/ Non-Traditional Needs Assessment

Dacc.edu

Question Title

* 1. Name:

Question Title

* 2. Student ID#

Question Title

* 3. Email:

Question Title

* 4. Please indicate the highest level of learning you've completed to date:

Question Title

* 5. Please indicate the primary language used in your household:

Question Title

* 6. Please indicate whether you are:

Question Title

* 7. Please specify which one you closely associate to:

Question Title

* 8. Please indicate the following:

Question Title

* 9. Do you know about Trio? Please check all that apply:

Question Title

* 10. Have you visited the Writing Center? Please check all that apply:

Question Title

* 11. Do you know about MASS Tutoring and or General Tutoring? Please check all that apply:

Question Title

* 12. Do you know about Career Services? Please check all that apply:

Question Title

* 13. Do you know about Disability Services? Please check all that apply:

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* 14. Are there any problems you have faced in particular that are difficult while attending DACC?

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* 15. What can we do to make your experiencing at DACC more memorable?