| 1. Please describe your primary field(s) of study or concentration at Evergreen. |
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| 2. Based on the classes you have taken and are planning to take, which of the following planning units best represent your academic choices at Evergreen? |
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| 3. What is your level of connectedness to the Evergreen community? |
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| 4. How does your academic workload seem to you this year? |
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| 5. Were you able to enroll in your first choice of academic offerings? |
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| 6. When did you take your classes this year? |
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| 7. Did you participate in undergraduate research as part of your academic work this year? |
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| 8. If you were to design your dream program, what would it look like? |
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| 9. How confident are you in the following areas? |
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| 10. How satisfied are you with the following aspects of your learning environment at Evergreen? |
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| 11. To what extent have your Evergreen experiences contributed to your growth in each of the following areas? |
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| 12. How important do you think diversity at Evergreen is to your learning? |
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| 13. How much respect do you think there is for different backgrounds, perspectives, and lifestyles at Evergreen? |
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| 14. In pursuing your college education, how important are the following goals? |
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| 15. How often have you used the following campus resources so far this academic year? |
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| 16. Please indicate whether you participated in the following campus resources at Evergreen and, if so, how satisfied you were: |
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| 17. Which of the following electronic/computing devices do you currently own? |
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| 18. How far do you typically commute to your campus? |
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| 19. How do you usually get to your campus? |
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| 20. What percent of the trips you take to and from your campus are by alternative transportation? |
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| 21. Do you plan to earn your bachelor's degree from Evergreen? If no or unsure, mark all that apply to your situation: |
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| 22. Indicate the highest degree you intend to earn at Evergreen or elsewhere. |
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| 23. Did any of your parents attend college? |
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| 24. Did any of your parents earn a 4-year college degree (or higher)? |
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| 25. Are you employed spring quarter? |
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| 26. Do you get any financial support for your undergraduate education and living expenses from any of the following sources? |
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| 27. Do you have any dependent children who live with you? If yes, have you found adequate childcare for your child(ren) while you attend school? |
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| 28. Have you ever served in the United States Armed Forces (including National Guard or reserve unit)? |
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| 29. Is English your first language? |
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| 30. With which gender do you identify? |
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| 31. Do you identify as gay, lesbian, bisexual, transgender, or queer? |
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| 32. Where are you living spring quarter? |
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| 33. What kind of resources or supports would help craft your academic statement? |
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