SurveyMonkey Powered Online Survey

Please complete this survey about your experience at Fontbonne and motivations for withdrawing. Once you have completed the survey, you will be able to access the Withdrawal Form.

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* 1. Contact Information

First Name

Last Name

Student ID

Permanent Address

City/Town

State/Province

ZIP/Postal Code

Country

Personal Email Address

Phone Number

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* 2. Who is your academic advisor?

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* 3. Reason for withdrawal (check all that apply)

Dissatisfied with academic program(s)

Moving out of the area

Courses were too easy

Did not qualify for personal loan(s)

Lack of friends

Courses were too difficult

Could not afford books or other school supplies

Distance from home

Family obligations

Not a good fit

Size of school

Dissatisfied with faculty/staff

Could not afford tuition

Medical concern (self)

Work responsibility

Could not afford housing/living expenses

Academic major not offered (please specify in comments below)

Did not qualify for financial aid

Other (please specify)

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* 4. Add additional comments regarding your reason for leaving:

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* 5. Do you plan to return to Fontbonne University? If yes, what is your anticipated date of return?

Yes

Semester and year of return:

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* 6. Are you planning to continue your education at another institution? If yes, please specify.

Yes

Institution & Major:

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* 7. How did you finance your education at Fontbonne University (check all that apply)?

I received some sort of financial aid (scholarship/federal loans/grants)

I took out private loans

I received corporate tuition reimbursement

I received Veteran's Benefits

I paid entirely out-of-pocket

Other (please specify)

Initiating Withdrawal Process

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* 1. Contact Information

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* 2. Who is your academic advisor?

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* 3. Reason for withdrawal (check all that apply)

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* 4. Add additional comments regarding your reason for leaving:

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* 5. Do you plan to return to Fontbonne University? If yes, what is your anticipated date of return?

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* 6. Are you planning to continue your education at another institution? If yes, please specify.

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* 7. How did you finance your education at Fontbonne University (check all that apply)?

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* 8. Please tell us about your campus experiences with students, faculty, and staff and how that impacted your decision.

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* 9. Please share any additional information that would help us improve the Fontbonne community.