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As you fill out the survey, try to be completely honest, keeping in mind that all the information provided will be confidential and anonymous.
 
 
 
Which of these groups do you consider yourself to be a member?
 
(a) White
 
(b) Black / African American
 
(c) Asian
 
(d) Hispanic / Latino
 
(e) American Indian or Alaska Native
 
(f) Native Hawaian or other Pacific Islander
 
(g) Bi / Multiracial racial
 
Other
 
 
 
 
What is your gender?
 
Male
 
Female
 
Other
 
 
 
 
Age?
 
 
 
Residential Location
 
On Campus
 
At Home with Parents
 
Live with friends
 
Other
 
 
 
 
Cumulative GPA
 
 
 
 
 
 
Status
 
Freshman
 
Sophomore
 
Junior
 
Senior
 
Other
 
 
 
 
Father's Highest Level of Education
 
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