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Student Focus Group Screener

Information about
the focus groups

Name:

E-mail:

Phone:

 

1. In which of the following colleges are you enrolled?
College of Business Administration
College of Education
College of Humanities and Fine Arts
College of Natural Sciences
College of Social and Behavior Science

 

2. Please indicate your major:

 

3. Are you a . . .
Freshman

Sophomore

Junior

Senior

 

4. Have you been enrolled previously at another college or university?
Yes No

 

5. Are you enrolled . . . Full-time Part-time

 

6. Gender: Male Female

 

7. What is your residence status? In-state Out-of-state

 

8. Do you live . . .
On campus

Off campus

 

9. Race/Ethnicity
African-American               Hispanic/Latino
Alaskan/American Indian   Middle Eastern
Asian/Pacific Islander         Other
Caucasian/White

 

10. Have you participated in student recruitment efforts? Yes No

 

11. If yes, have you participated in recruiting... in-state students out-of-state students

 

PLEASE COMPLETE AND SUBMIT THE FORM BY WEDNESDAY, MARCH 24.
The focus group will be Wednesday, March 31.

If selected to participate in the focus groups, you will be notified via e-mail.

Thank you for your willingness to be of service to UNI in this important project.

 

 

Maintained by University Marketing and Public Relations
Last Modified: March 17, 2004