2018 Student Survey

Background Information

Student First Name *This question is required.

Student Last Name *This question is required.

Permanent Home Address *This question is required.

Apartment #

City *This question is required.

Zip *This question is required.

Gender

Student Date of Birth *This question is required. DOB should be mm/dd/yyyy. This question requires a valid date format of MM/DD/YYYY.

calendar

Student's Preferred E-mail Address This question requires a valid email address.

What is your approximate high school GPA? (Scale A=4, B=3, C=2, D=1, Failing=0) *This question is required.