Experts by Experience Podcast Participant Interest Survey

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First, THANK YOU for your interest in participating in our discussion series! Please fill out the form below so we can start to get to know you better and to begin thinking through how we can get you involved in the project.

About You...

First Name *

Last Name *

What neighborhood are you from? *

What high school did you attend? When did you graduate? *

How do you identify racially? *

What are your preferred pronouns? *

Check off the identities that apply to you:

Definitions: First-generation College Student = Neither of your parents completed a higher ed degree; Fi

First-generation college student (Defined as neither of your parents completed a higher education degree)

First - generation immigrant

Low-income

Other:

What is the best way to get in contact with you? *

Phone

Social Media

Other:

Please provide your preferred contact info *

About Your College Experience...

What college are you currently enrolled in? *

Area of study/Major?

What year are you in? *

Are you a part of any student groups? If so please list them: *

Below is a list of topics that we are thinking of exploring through our conversations. Please select any the topics that you might be interested in talking about: *

Financial aid and loans

Academics/Online instruction

Jobs and internships (current work and future career)

Relationships with family and friends

Culture and sense of community

Personal finances

Mental health

Campus life (student organizations, cultural centers, ceremonies)

Other:

Required

How did you hear about the Podcast? *

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