ASA Spring 2020 Student Check-In For Transitioning Online
This form is based on Professor Mimi Khuc's ENGL270: Intro to Disability Studies Check-In Google Form from Georgetown University. Please fill out this form so the Asian American Studies department can understand how each of you are doing and what assistance you need to transition to remote learning.

The following form is ONLY for the ASA department faculty and staff.

If you have any questions or would like additional information, please contact our program coordinator, Angel Truong
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Email Address *
Full Name (First, Middle, Last) and Pronouns *
Preferred Name *
Which ASA course(s) are you enrolled in this quarter? *
Are you currently living on-campus or off-campus? *
Are you currently living near or away from Davis? Which city/state/country are you currently residing? *
Do you feel safe and secure in your current housing? *
Do you have any concerns with fulfilling basic needs around housing, food, medical care, and mental health? Do you have access to a support system? *
Do you have reliable WiFi or technical support (computer, laptop, etc.) to access academic work and resources? *
Will you be able to access and participate in online instruction during your class time(s)? *
Are you comfortable with utilizing and participating in online instruction through your instructor(s)' chosen platform (Zoom, Live Room, or Canvas)? *
Did you download the UCD library VPN? If not, do you need assistance in doing so? *
If you identify as Asian American, have you experienced a hate or anti-Asian bias incident since the COVID-19 crisis commenced?
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Are there any concerns or additional information you would like to share to the department that we should know? *
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