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STEM Workshop: Exit form
Please fill out this brief survey about how your felt about the workshop you attended
* Indicates required question
Email
*
Your email
First Name and Last Name
*
Your answer
Phone Number
*
Your answer
How did you hear about this workshop?
*
Email
School Website
Social Media
Instructor
From a friend
Someone from your class
Through Special program or Cohort (I.e Puente, EOPS, Umjoa, First Year Experience)
Other:
Required
What did you learn from the workshop you attended?
*
Your answer
Would you like to have a one on one appointment to go over your personal statement?
*
Yes
No
What scholarship did you apply for? (Please provide the name and website of the five scholarships in the rows section)
*
Your answer
Are you interested in joining the STEM Core Cohort?
*
Yes
No
Maybe, I would like to know more about it.
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