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Please direct questions and comments to:
Will Barratt
Evaluation of the Involvement of Students at Indiana State
University
Indiana State University
Erin N. Lowery
Appendix A
STUDENT INVOLVEMENT SURYEY
Age_____ Gender:___ Male ___ Female
Ethnicity: ___ African Am. ___ Asisn Am. ____ Latino/a Am.
___ Caucasian/European Am. ____ Other
___ International (which country)
Hours enrolled in: ___1-6 ___ 6 -11 ___11-17 ___18-Above
Residential Statue (please check one): ____ Residence Hall
____ Family Housing
____Off Campus
____Fraternity House
Year in School (please check one): ___ Fr. ___ Soph. ___ Jr.
___ Sr. ___Grad
Do you have children living at home?___ How many?____
What are their ages? ____________
Do you work7____ Where do you work?___________________________
How many hours do you work each week?___________________________
What other commitments/responsibilities do you have each week in
addition to work?
1. Have you been involved in any extra curricular activities
while involved at Indiana State University? If so, which ones?
(ex. honor society, SGA, sorority)
2 Why (or why not) did you decide to get involved in extra
curricular activities?
3. How much time do you spend each week participating in extra
curricular activities?
4. What programs and services have you utilized or participated
in within the last year?
____Student Life Programs ____Union Board Programs
____African American Cultural Center ____Career Center
____International Student Services ____Student Counseling
____Student Health Center/
Student Health Center Promotion ____Recreational Sports
____Greek Affairs ____Women's Resource Center
____Leadership Resource Center ____Le Club
____University Police ____Volunteer Center
5. For those checked above, please circle those that met your
needs.
6. Which days and times would you be most willing to participate
in programs and activities?
___Sun ___Mon ___Tues ___Wed ___Thurs ___Fri ___Sat
___Mornings ___Afternoons ___Evenings(5-9pm) ___Night(9-12am)
7. Would you utilize child care services if they were available
during these activities?
8. What other activities and services would you be interested in
attending/participating in?
9. On average, how much time each week would you be willing to
spend participating in extra curricular programs and activities?
10. What else could be done to make these programs and services
more available and accessible?