JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Interested Student Questionnaire
This short survey is for students who are interested in the Repair Lab and Environmental Justice Policy Clinic.
The Lab's website is:
https://repairlab.as.virginia.edu/
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is your name?
Your answer
What is your UVA email address?
*
Your answer
What is your status?
*
1st year Undergrad
2nd year Undergrad
3rd year Undergrad
4th or 5th year Undergrad
Graduate - Masters
Graduate - PhD
Other:
Undergrads: What are your major/s and minor/s (declared or thinking about declaring)?
Your answer
Grad students: what is your primary discipline?
Your answer
What interests you about the Repair Lab or the Environmental Justice Policy Clinic?
*
Your answer
What skills or experiences do you bring to the Lab? For example: research background, app or web design, multimedia skills, statistics, GIS mapping, etc.
*
Your answer
What courses are you signed up for now (Fall 2021)?
*
Your answer
What courses will you probably sign up for next semester (Spring 2022)?
*
Your answer
Would you be interested in working on a research project or deliverable for the Repair Lab?
*
Yes
No
Maybe
Would you be interested in working with a focus group to brainstorm issues for the Repair Lab?
*
Yes
No
Maybe
Are you currently enrolled in a course for which a final assignment could include an environmental justice topic of your own choosing?
Your answer
Is there anything else about yourself that you think we should know?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms