Students partcicipating in the Level 7 Reception and Focus Group should complete this form. First Name * Last Name * Placeholder Personal Email Address * Home (Permanent) Address * Cell Phone Number What are your plans after you graduate from CIEP? * If you graduate from CIEP, would you be willing to participate in an alumni interview and have your profile featured on the CIEP website? * Yes No Briefly describe your experience at UNI, how CIEP has helped you, or a favorite memory. *The CIEP may use the answer to this question in promotional material.