UW Learning Experiences Focus Group Interest Form
Thank you for your interest in participating in this focus group study. In order to be considered for participation you must be a currently registered undergraduate student at the University of Washington Seattle and at least 18 years of age. Focus groups will take place on campus on a weeknight from 6-8pm.
You must answer all questions to be considered for participation. If you are selected to participate, you will receive an email invitation.
If you have any questions, please contact Tyler Watson, Study Coordinator,
Are you a currently registered undergraduate student at the University of Washington Seattle and at least 18 years of age?
What is your current year of undergraduate study?
First year undergraduate
Second year undergraduate
Third year undergraduate
Fourth year undergraduate
Fifth year or more undergraduate
FIRST YEAR STUDENTS ONLY: Please indicate your availability on the following dates/times:
Thursday, May 16th, 6-8pm
Monday, May 20th, 6-8pm
Wednesday, May 22nd, 6-8pm
SECOND YEAR STUDENTS ONLY: Please indicate your availability on the following dates/times:
Monday, May 6th, 6-8pm
Wednesday, May 8th, 6-8pm
Tuesday, May 14th, 6-8pm
THIRD YEAR STUDENTS ONLY: Please indicate your availability on the following dates/times:
Wednesday, April 24th, 6-8pm
Tuesday, April 30th, 6-8pm
Thursday, May 2nd, 6-8pm
FOURTH YEAR OR MORE STUDENTS ONLY: Please indicate your availability on the following dates/times:
Tuesday, April 16th, 6-8pm
Thursday, April 18th, 6-8pm
Monday, April 22nd, 6-8pm
What is your gender identity?
Trans Female/Trans Woman
Trans Male/Trans Man
What is your race/ethnicity?
Native American/Alaskan Native
Native Hawaiian/Pacific Islander
Are you a transfer student?
Have you ever received a Pell grant?
Which of the following best describes the educational experience of your parents?
Neither parent attended any college
One or both parents attended some college, but neither has a four-year degree
One parent has a four-year degree
Both parents have a four-year degree
One parent has a graduate or professional degree
Both parents have a graduate or professional degree
What is/are your current or intended major(s)?
Which of the following activities have you completed or are you now participating in? Please check all that apply.
First-Year Interest Group (FIG) or other first-year seminar
Living-learning program (where students with common interests live together and share learning experiences in and out of the classroom)
Learning community (taking two or more linked classes with the same cohort of students)
Writing intensive course
Academic service learning or community-based learning experience
Research or creative project with faculty outside of regular course requirements
Study abroad (academically-focused time outside the U.S. in which at lease one academic credit is accrued)
Leadership program/position (e.g., ASUW, Husky Leadership Initiative, UW Leaders, Peer Mentor, RSO Officer, etc.)
Capstone or thesis project
You have reached the end of this survey, thank you for your responses. If you are selected to participate, you will be contacted by email.
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