FUTURO Survey 2019-2020
This survey captures data about our FUTURO members for the purpose of documenting our progress and performance for grant and funding opportunities AS WELL AS to provide our members with information about opportunities of interest related to civic engagement and professional development. All answers remain confidential.
1. First Name or Preferred Name
2. Last Name(s)
3. Cell Phone Number (xxx)xxx-xxxx
If you prefer not to be called or texted about opportunities, please write NA.
4. Preferred E-mail Address
If you prefer not to be emailed about opportunities, please write NA.
5. Gender Status
If you prefer to self describe, fill in other.
Non-Binary / Third Gender
Prefer not to respond
Which is / are your preferred languages?
English dominant with some Spanish fluency
Spanish dominant with some English fluency
Bilingual - English, Spanish
Bilingual - English and another language
6. Member of which FUTURO Chapter:
ASPIRE FUTURO Chapter
Cumberland University FUTURO Chapter
MTSU FUTURO Chapter
Tennessee Technical University FUTURO Chapter
Trevecca Nazarene University FUTURO Chapter
TSU FUTURO Chapter
Belmont Hispanic Student Association (FUTURO affiliate)
Lipscomb University FUTURO Chapter
Western Kentucky University HOLAS (FUTURO affiliate)
Fisk University FUTURO Chapter
7. Are you currently serving as a Student Officer of your FUTURO chapter?
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This form was created inside of Culture Shift Team.