Please indicate your gender:
Please indicate your age range:
Select one
14-17
18-24
25-34
35-44
45-54
55-64
65 and up
Please indicate your status (check all that apply):
Please indicate your highest level of completed education:
Please list your hometown and county of residence:
Email Address (required to enter the IPod Nano Drawing):
Please indicate preferred format for receiving news and information (check
all that apply):
Newspaper (print):
Newspaper (online):
Radio:
Television:
News Websites:
Internet Social Sites (MySpace, Facebook, etc.):
Email:
RSS News Feeds:
Podcasts:
How did you learn about IU Northwest?
Which of the following IU Northwest facts were you aware of before beginning this survey? (check
all that apply):
General:
Please list any other important general facts that you know about IU Northwest that are not listed above:
Academics:
Please list any other important academic facts that you know about IU Northwest that are not listed above:
Quality:
Please list any other important quality facts that you know about IU Northwest that are not listed above:
Co-Curricular Activities:
Please list any other co-curricular facts that you know about IU Northwest that are not listed above:
IU Northwest partners with a variety
of organizations throughout Northwest Indiana. Below is just a
sampling of some of those partnerships or programs in which IU
Northwest serves as host. Please check those partnerships that
you are aware of.
Community Partnerships:
If you are aware of partnerships not listed, please indicate which ones you are aware of:
Have you ever attended or do you currently participate in any of the following events? (mark
as many as apply):
What is your general perception of IU Northwest as a university? (mark
all that apply):
I believe IU Northwest to be (check one):
The fact that IU Northwest has a 24-hour professional campus police force (mark
all that apply):
In your opinion, is IU Northwest viewed as part of the overall Indiana University system?
If yes, why?
If no, why not?
What role do you feel a university should play in a community?
Has IU Northwest contributed to the Northwest Indiana community?
If yes, how?
Would or do you recommend IU Northwest to friends and family?
If no, please explain.
If you are a current IU Northwest student, please
complete the following:
Was IU Northwest your first choice of universities to attend?
If yes, what attracted you to IU Northwest?
If no, what was your first choice and why did you ultimately enroll at IU Northwest?
Has your perception of IU Northwest changed since attending classes on this campus?
If yes, in what way(s)?
If no, please explain.
What factors or other external influences affected your choice to attend IU Northwest?
Do any of your friends attend IU Northwest?
If no, why did they elect to attend another university?
Are the course offerings (day, time, overall class selections) satisfactory?
If no, how could the University improve?
In your opinion, what words best describe IU Northwest:
Are you interested in receiving additional information about IU Northwest.
If yes, please complete the following:
Last Name:
First Name:
Email:
Street Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
High School Attended:
Graduation or Projected Graduation Date:
Please indicate what programs you may be interested in:
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