Student Support Services Pre-Screening Survey
Please fill out the information below to the best of your ability. No information disclosed on this form will be used illegally, nor will it be sold or given to any third party. Because we are a Federal Grant program, estimates about household income and household size are required for eligibility purposes.
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Your full legal name: *
Your Weber State University student ID: *
Your daytime phone number: *
(801) 555-1234
Your email address(es): *
WSU email address preferred, personal email address is acceptable
Are you a first-generation student? *
First-generation status means neither of your parents has earned his/her Bachelor's degree from an accredited institution.
Please the select the description that best reflects your status: *
Are you eligible for a Federal Pell Grant through FAFSA? *
This information is required to determine eligibility
What was your High School GPA (or your college GPA if you are a current, returning or transfer student)? *
What is your current academic status? *
What is your major? If you have not declared a major, which major(s) are you most interested in? *
Are you currently enrolled full-time at Weber State University? *
To be enrolled full-time means you have registered for 12 or more credits.
Required
If you are not currently enrolled in classes at Weber State, mark the first semester you plan on attending? *
Required
What are your educational goals here at WSU? *
Check all that apply.
Required
Why are you interested in the Student Support Services program? *
What would you say are your greatest challenges to succeeding in college? *
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