ChUCK Fall 2018 Continuing Student Survey
ChUCK comprises of the 4 student-initiated retention programs housed under Engaging Education (e^2): ChALE, Umoja, CUSN, & KAMP. For more information about e^2, please visit: https://engagingeducation.org/

ChicanX & LatinX Educandose (ChALE) is a retention program that aims to retain the ChicanX/LatinX community through academic, social, and/or cultural events. For more information: chaledeucsc@gmail.com

UMOJA, meaning Unity in Swahili, is a student initiated and student run retention program dedicated to keeping African/Black identified students here at UC Santa Cruz. For more information: umoja.santacruz@gmail.com

Community Unified Student Network (CUSN), pronounced "cousin", is a peer program dedicated, but not exclusive to the Asian-American / Pacific Islander (AA/PI) community at the University of California, Santa Cruz. For more information: cusnretentionucsc@gmail.com

Kuya Ate Mentorship Program (KAMP) is a student initiated and student led retention program that targets, but not exclusive to, the Pilipinx community. For more information: kamp.ucsc@gmail.com

The purpose of this survey is to assess the needs of the student community here at UCSC. The data that is collected will help inform what type of programming that we host during this school year. At the end of the survey, if you're interested in participating in any of the programming, there is an option to leave your contact information. This survey will take between 10-15 minutes to complete.

To participate in the drawing for a $25 Gift Card to Amazon, please sign up for the email newsletter at the end of the survey.

What is your racial identity? *
Examples: Asian American, African American, Chicanx, Latinx, Pacific Islander, etc.
Your answer
What is your ethnic identity? *
Examples: Filipino, Jamaican, Salvadoran, Samoan, etc.
Your answer
What is your gender identity? *
Your answer
What are challenges that you foresee your racial & ethnic community might be dealing with this year at UCSC? *
There is a maximum character count of 500.
Your answer
Based off of your respective identities, which of the following makes you feel included on campus? *
Required
How likely are you to attend a program that focuses on a racial and ethnic community that is different from your own? *
Extremely Unlikely
Extremely Likely
When are you most likely to attend a program based on the following topics? *
Fall Quarter
Winter Quarter
Spring Quarter
Not likely to attend
Housing
Food Security
Budget Management
Current National Administration
Federal Anti-Immigration Policies
Please rank the following topics in order of importance. *
1 - Least important
2
3
4
5 - Very important
Housing
Food Security
Budget Management
Current National Administration
Federal Anti-Immigration Policies
Next
Never submit passwords through Google Forms.
This form was created inside of UC Santa Cruz. Report Abuse - Terms of Service