This survey is intended to gather information about students’ college experiences. The results of this survey will be used to
plan the curriculum and improve student services. The results also help us secure state and federal funding for programs
that support students. The survey should take about 15 minutes to complete.
Participation in this survey is completely voluntary. Your consent to participate is implied when you access and begin to
answer the online survey questions; however, you may skip any questions you do not wish to answer and you can
discontinue the survey at any time. Your participation will be confidential and unidentifiable in any public report.
Unfortunately, this survey is not compatible with JAWS screen reading software. If you have trouble viewing the survey it
can be administered by phone, or we can send you a printed copy. For this or any other questions about the survey please
contact Coral Garey, Research Project Coordinator, at (360) 867-6679 or email@example.com.
The person to contact if
you experience problems as a result of participating in this project is John McLain, Human Subjects Review administrator at
The Evergreen State College, (360) 867-6045 or firstname.lastname@example.org.
Please enter your Sample ID number below, along with the first three letters
of the month of your birth. This information is
required to participate and will be used to enter you into a random drawing for a $200 gift certificate at the Greener Store.
To be eligible for the drawing, your survey must be completed by June 30, 2017. The student who is selected in the random
drawing will be contacted at the completion of the survey administration and will have 30 days from the date of notification
to claim the gift certificate.**