Class Climate online-survey - Umuted: Title VI Training, August 31

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University of South Carolina

Carl Wells

Research Surveys

Umuted: Title VI Training, August 31

1.Student Information

1.1 Last Name

(maximum 50 characters)

1.2 First Name

(maximum 50 characters)

1.3 Middle Initial

(maximum 10 characters)

1.4 Email Address

(maximum 40 characters)

1.5 Telephone Number

(maximum 40 characters)

1.6 I am taking this training as......

A University 101 Student

A Member of Student Government

An Officer of a Student Organization

1.7 University 101 section number (If applicable)

(maximum 20 characters)

1.8 University 101 Instructor's Last Name (If applicable)

(maximum 25 characters)

1.9 Student Government Position (If applicable)

(maximum 40 characters)

1.10 If you are an officer in a student organization, please give your organization's name.

(maximum 40 characters)

1.11 If you are an officer in a student organization, please give the office that you hold.

(maximum 40 characters)

1.12 Date and time of session you plan to attend?

(maximum 40 characters)