Student Support Services Eligibility Survey Fall 2019

The following survey is designed to help us determine the eligibility of Antelope Valley College students for support services funded by federal grants. When you answer these questions, you put the college a step closer to creating a stronger, more supportive network of services to help you achieve your academic goals. Please take a few minutes to answer the following survey questions. As a token of our appreciation for completing this survey, you will be entered in a drawing for a $100 Visa card.

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* 1. Student ID:

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* 2. Gender:

Female

Male

Other

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* 3. Age:

17-22

23-29

30-39

40-49

50-59

60+

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* 4. Race/Ethnicity:

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* 5. College Experience:

New Student

Returning Student (after a lapse in enrollment)

Continuing Student

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* 6. Class:

Freshman

Sophomore

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* 7. Enrollment:

Part-time (less than 12 units)

Full-time (12 or more units)

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* 8. Academic Goal:

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* 9. Father’s highest level of education:

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* 10. Mother’s highest level of education:

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* 11. Are you employed?

Yes

If yes, how many hours per week?

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* 12. Are you receiving financial aid?

Yes

Unsure

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* 13. If you are receiving financial aid, which kind? (check all that apply)

Need-based Scholarships

Pell Grants

Stafford Loan

Perkins Loan

Institutional Scholarship

Scholarship from Outside Source

I don't know.

Scholarship Name:

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* 14. Please comment on the effectiveness of any financial aid assistance, advising or counseling you received (i.e. assistance from the financial aid office in applying for aid, locating scholarships, etc.):

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* 15. If you are not receiving financial aid, what is/are the reason(s)?

Did not know how to complete the FAFSA

Did not believe you would qualify

Did not want to take out student loans

Missed the deadline to apply

Did not know about financial aid opportunities

On financial aid suspension

Other (please specify):

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* 16. Are you a parent?

Yes

If yes, how many children do you have?

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* 17. If you are a parent, are you a single parent?

Yes

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* 18. What is the primary language spoken in your home?

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* 19. How many people live in your home (including yourself)?

Adults

Children (under 18 years)

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* 20. What is your estimated family taxable income? (This means all earned income minus deductions.) Please check the one category that applies to you.

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* 21. What are some of the reasons you have missed, or would miss a class? (check all that apply)

No transportation

No child care

Family illness

Personal illness

Work conflict

Difficulty with subject matter

Other (please specify)

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* 22. Do you have a diagnosed disability?

Yes

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* 23. Are you or have you been homeless while in college?

Yes

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* 24. Are you currently or have you been in the foster care system?

Yes

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* 25. Does your family support your decision to attend college?

Yes

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* 26. Did your family expect you to attend college when you were in high school?

Yes

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* 27. Have you ever felt family pressure to quit college?

Yes

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* 28. Have you ever dropped or stopped out of college for at least one semester?

Yes

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* 29. If you answered "yes" to number 28, what was the reason you dropped or stopped out? (check all that apply)

Unreliable transportation

Unable to choose a major

Personal problems

Lack of family support

Time management problems

Work conflict

Health problems

Difficulty with courses

Childcare problems

Financial problems

Other (please specify)

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* 30. What possible roadblocks exist to your completing your education (check all that apply)

Unreliable transportation

Unable to choose a major

Personal problems

Lack of family support

Time management problems

Work conflict

Health problems

Difficulty with courses

Childcare problems

Financial problems

Other (please specify)

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* 31. In your opinion, what is the greatest obstacle you need to overcome to earn a college degree and why?

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* 32. Have you ever had the following experiences at Antelope Valley College?

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* 33. How many times have you met with an advisor?

1-3

4 or more

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* 34. If you have met with an advisor, how much total time have you spent with your advisor?

15 mins or less

15 mins - 30 mins

30 mins - 1 hour

More than an hour

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* 35. Are you able to consistently complete your coursework from your home computer?

Yes

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* 36. If you answered “no” to question number 30, why? (check all that apply)

I do not have a home computer.

I cannot afford Internet access.

I cannot receive internet access where I live.

I have internet access but it is unreliable.

I have internet access but it is too slow.

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* 37. Have you ever dropped a course because of lack of computer access?

Yes

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* 38. Have you used or would you expect to use the following services while enrolled at Antelope Valley College and how often?

	Never	Sometimes	Often	Don’t Know
Library	Library Never	Library Sometimes	Library Often	Library Don’t Know
Career Planning	Career Planning Never	Career Planning Sometimes	Career Planning Often	Career Planning Don’t Know
Developmental Courses	Developmental Courses Never	Developmental Courses Sometimes	Developmental Courses Often	Developmental Courses Don’t Know
Academic Advisors	Academic Advisors Never	Academic Advisors Sometimes	Academic Advisors Often	Academic Advisors Don’t Know
Tutors	Tutors Never	Tutors Sometimes	Tutors Often	Tutors Don’t Know
Computer Lab	Computer Lab Never	Computer Lab Sometimes	Computer Lab Often	Computer Lab Don’t Know
Counselors	Counselors Never	Counselors Sometimes	Counselors Often	Counselors Don’t Know
Financial Aid	Financial Aid Never	Financial Aid Sometimes	Financial Aid Often	Financial Aid Don’t Know
Work Study	Work Study Never	Work Study Sometimes	Work Study Often	Work Study Don’t Know
Time Management Workshop	Time Management Workshop Never	Time Management Workshop Sometimes	Time Management Workshop Often	Time Management Workshop Don’t Know
Study Skills Seminar	Study Skills Seminar Never	Study Skills Seminar Sometimes	Study Skills Seminar Often	Study Skills Seminar Don’t Know
Services for Disabled Students	Services for Disabled Students Never	Services for Disabled Students Sometimes	Services for Disabled Students Often	Services for Disabled Students Don’t Know

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* 39. What improvements could be made to tutoring, academic advising, and any other services you have used at Antelope Valley College?

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* 40. In which areas do students need assistance in order to be more successful at college?

Time Management

Study Skills

Basic Personal Budgeting

Long-term financial planning (i.e. paying for college)

Selecting/following a path of study

Finding/applying for financial aid/scholarships

Managing stress

Balancing work/family responsibilities and classes

Using technology in college courses

Locating academic assistance

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* 41. What do you need to be successful in college (e.g. specific services, assistance, etc.)?

Thank you!

	Yes	No
Met individually with an instructor	Met individually with an instructor Yes	Met individually with an instructor No
Met with a dean or vice president	Met with a dean or vice president Yes	Met with a dean or vice president No
Attended an orientation session	Attended an orientation session Yes	Attended an orientation session No
Joined a school activity or club	Joined a school activity or club Yes	Joined a school activity or club No
Attended a lecture, play or musical performance	Attended a lecture, play or musical performance Yes	Attended a lecture, play or musical performance No
Dropped a course	Dropped a course Yes	Dropped a course No
Not completed a course assignment	Not completed a course assignment Yes	Not completed a course assignment No
Joined a study group	Joined a study group Yes	Joined a study group No
Worried that you might not succeed	Worried that you might not succeed Yes	Worried that you might not succeed No
Had a staff member or instructor take a personal interest in your success	Had a staff member or instructor take a personal interest in your success Yes	Had a staff member or instructor take a personal interest in your success No
Considered transfer to a 4-year college	Considered transfer to a 4-year college Yes	Considered transfer to a 4-year college No
Received assistance with completing FAFSA and/or scholarship applications	Received assistance with completing FAFSA and/or scholarship applications Yes	Received assistance with completing FAFSA and/or scholarship applications No
One-on-one assistance with math courses	One-on-one assistance with math courses Yes	One-on-one assistance with math courses No
One-on-one assistance with writing courses	One-on-one assistance with writing courses Yes	One-on-one assistance with writing courses No
Professional Job Shadowing	Professional Job Shadowing Yes	Professional Job Shadowing No
Participated in a mentoring program	Participated in a mentoring program Yes	Participated in a mentoring program No
Received advice/assistance with course selection	Received advice/assistance with course selection Yes	Received advice/assistance with course selection No