Know Before You Go: "Show Me the Money!" Finding And Applying For College Scholarships- Spring 2019

Thank you for your interest in this community education free course! Know Before You Go will be held on Saturday, February 2, from 10 AM- Noon, at the Brewer-Hegeman Conference Center. Please complete the form below to register. If you have questions, please email communityed@uca.edu or call 501-450-3118. Thank you!

Question Title

* 1. Are you:

UCA Current Student

UCA Faculty/Staff

UCA Retiree

UCA Alumni

Public

Question Title

* 2. Personal Information:

First Name:

Last Name:

Street Address:

Number Attending With You:

City:

State:

Zip Code:

Primary Phone:

Email Address:

Emergency Contact Name:

Emergency Contact Number:

Question Title

* 3. Would you like to receive important updates about your course via text message?

Yes

Question Title

* 4. How did you first hear about this event?

Word of Mouth

UCA Outreach booklet

Booklet in Mail

UCA website

Social Media (Facebook/Twitter)

UCANET

Radio/TV

Newspaper/Magazine

Word of Mouth

Other (please specify)

Question Title

* 5. UCA would like to collect demographic Information to help us better serve our customers and event participants. These questions are voluntary and any information you provide will remain confidential and will only be used in aggregate form. Would you like to take a few moments to help us?

Yes

Question Title

* 6. What is your gender?

Female

Male

Prefer Not to Answer

Question Title

* 7. Please select the category that includes your age:

Under 18

18-24

25-34

35-44

45-54

55-64

65 or Above

Prefer Not to Answer

Question Title

* 8. Which of the following best describes you?

American Indian/Alaska Native

Asian

Black/African American

Hispanic/Latino

Native Hawaiian/Pacific Islander

White/Caucasian

Two or More Races

Question Title

* 9. What is the highest level of education you have completed?

Some high school

High school or equivalent (GED)

Some college

Trade/technical/vocational certificate

Associate degree

Bachelor's degree

Master's degree

Professional degree

Doctorate degree