DMACC URBAN CAMPUS

Student Questionnaire Form

PLEASE SELECT ANSWERS FROM DROP DOWN BOXES, PRINT NAME , DATE AND TIME IN THE SPACES PROVIDED ON THE BOTTOM OF PAGE. CLICK SUBMIT BUTTON WHEN COMPLETELY DONE

As an Urban Campus student are you interested in a program of study or just individual classes	If you are interested in a program of study at Urban Campus which is it?
What is your annual income?	Do you need information on Financial Aid?
If you have a disability do you need:	How are you registering for classes?
It would be helpful for me to know?	Do you have any suggestions to help improve our web page?

Go To DMACC Urban Home Page

Go to DMACC Urban Financial Aid Page

First and Last Name (e.g. John Doe)
Date(mm/dd/yy)
Time(e.g. 3:30pm)

In answering the questionnaire you're helping Urban Campus collect data for the purpose of serving our student population more effectively. All information on this questionnaire is intended and obtained only for the purpose of improving our website and Financial Aid Services. This information is secluded, impregnable, and confidential. It will not be solicited to outside organizations and will be handled by authorized DMACC personnel.
This questionnaire has been submitted times.