Dear Student,
Congratulations on being chosen as a Ugrad participant! Before you leave for your exciting year as an exchange student in the United States, the Global Undergraduate Exchange Program would like to ask you a few questions.
These questions will be used to evaluate the Program and to make it better for you and for future participants. Please answer all of the questions and respond to them as best you can. This is not a test, and there are no right or wrong answers. Your thoughts and opinions are important to us and will not affect your participation in the program.
Thank you for your help and have a wonderful year!
Privacy Act and Paperwork Reduction Act Statements:
The information solicited on this survey is requested pursuant to the Government Performance and Results Act of 1993 (P.L. 103-62) and the Mutual Educational and Cultural Exchange Act of 1961, as amended, also known as the Fulbright-Hays Act (22 U.S.C. 2451, et seq.). In order to ensure that the U.S. Department of State’s international exchange programs meet statutory program requirements (22 U.S.C. 2460(c)), the Department’s Bureau of Educational and Cultural Affairs (ECA) regularly monitors the programs, gathers data about program accomplishments, and evaluates selected ones. ECA uses the information collected to inform program design, management, and funding. All personal information that is collected through surveys is considered confidential. All responses are coded to ensure the confidentiality of individual responses. Data collected under this study will not be shared, sold, or used for fundraising purposes. Survey data and findings will be used only in an aggregate form for the express purposes of fulfilling the data needs of the outcome assessment. Responses to this survey are voluntary.
Public reporting burden for this collection of information is estimated to average twenty-five (25) minutes to respond to this survey, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An Agency may not conduct or sponsor, and respondents are not required to respond to, a collection of information unless it displays a valid OMB control number. Please send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to: A/ISS/DIR, U.S. Department of State, Washington, D.C. 20520.
What is your primary reason for participating in the Global Undergraduate Exchange Program?
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There are many different reasons for participating in the Global Undergraduate Exchange Program. In the table below, please identify your three most important reasons for participating.
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To improve my leadership skills |
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To learn about community service |
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To increase my understanding of the United States and United States society, people, and culture |
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To increase my understanding of my field of study |
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To make friends with American students and their families |
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To share my culture with others |
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Other (please write in): _____________________________________________ |
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Please rate your current understanding of the topics listed below. Please check one box in each row.
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No Knowledge |
Less Than Basic |
Basic Knowledge |
Beyond Basic |
Advanced Knowledge |
Leadership |
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Community service |
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Your field of study |
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Other (please write in): ____________________ |
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To what extent do you expect the program to increase your understanding of the following topics? Please check one box in each row.
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Not At All |
To A Small Extent |
To A Good Extent |
To A Great Extent |
Leadership |
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Community service |
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Your field of study |
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Other (please write in): ______________________ |
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What do you see yourself as accomplishing or learning during this visit to the United States that you could not accomplish or learn at home?
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What does community service mean to you?
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Please rate yourself on the following abilities. Please check one box in each row.
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Poor |
Fair |
Good |
Excellent |
Being self-reliant, being independent, relying on yourself |
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Speaking in public |
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Listening to other people’s suggestions or concerns |
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Expressing ideas and feelings |
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Being tolerant of people different than you |
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Leading a team and motivating others |
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Being flexible |
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Solving problems |
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Planning for the future |
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Managing your time |
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Managing money |
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Discussing your beliefs/values |
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Willing to make changes in your community |
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Please rate your current abilities English. Please check one box in each row.
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Poor |
Fair |
Good |
Excellent |
Read English |
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Speak English |
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Write English |
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Make presentations in English |
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Computer (Internet, software programs) |
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Please rate your current abilities using computer technology. Please check one box in each row.
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Poor |
Fair |
Good |
Excellent |
Use the Internet for research |
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Use E-mail |
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Use different software programs |
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Please rate your knowledge or understanding of the following topics. Please check one box in each row.
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No Knowledge |
Less Than Basic |
Basic Knowledge |
Beyond Basic |
Advanced Knowledge |
United States democracy |
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United States economy |
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United States values and culture |
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Religious and ethnic diversity in the United States |
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Freedom of speech and press in the United States |
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Voluntary community service in the United States |
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Daily life in the United States |
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How do you view the United States Government and the American people? Please check one box in each row.
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Strongly Unfavorable |
Generally Unfavorable |
Neither Favorable Nor Unfavorable |
Generally Favorable |
Strongly Favorable |
United States Government |
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American people |
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How do you view the United States Government and its relationship with your country?
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Strongly Disagree |
Disagree |
Neither Agree nor Disagree |
Agree |
Strongly Agree |
The United States Government is a trustworthy partner for my country |
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To what extent do you agree or disagree with the statements below? Please check one box in each row.
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Strongly Disagree |
Disagree |
Neither Agree Nor Disagree |
Agree |
Strongly Agree |
Voting is important because real decisions are made in elections |
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Free and fair elections are the cornerstone of democracy |
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An independent media is important to the free flow of information |
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All citizens in a country should have equal rights and protections under the law, regardless of circumstances |
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The Rule of Law is fundamental to a functioning democracy |
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Individuals and organizations have the right to free speech and to voice opposition |
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Democratic principles enhance the workplace. Supervisors should incorporate democratic principles into their management practices |
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What is the first positive thing you think about when you think about the United States?
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What is the first negative thing you think about when you think about the United States?
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What is your major field of study? Please check all boxes that apply.
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Agriculture |
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Library and Information Science |
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Arts and Humanities (History, languages, literature, art, theater) |
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Media, Mass Communications, Journalism, Communication Technology, Advertising, Graphics |
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Athletics |
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Medicine |
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Business Administration, Finance |
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Military service |
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Computer Science, Information Technology |
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Public Administration |
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Education |
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Public Health |
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Engineering |
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Religion |
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Environment |
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Science (physics, math, chemistry, biology, astronomy, geography, agronomy) |
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Government |
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Social Sciences (sociology, economics, psychology, political science) |
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Humanitarian Affairs, Development Assistance, Conflict Resolution |
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Social Work |
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International Relations |
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Teaching English, English Language Instruction |
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Labor, Trade Unions |
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Not Sure |
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Law, Judicial Law, Law Enforcement |
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Other (please write in): ______________________ |
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Have you visited the United States before? Please check one box.
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Yes |
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No |
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If you answered “yes” to question #17, how long did you stay on your last trip to the United States? Please check one box.
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Less than 6 months |
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6 to 12 months |
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More than 12 months |
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I have never visited the United States before |
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Do you have any connections to the United States? Please check all boxes that apply.
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Family ties |
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Friends |
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Religion |
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Teachers |
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Academic |
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Professional |
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Travel/Personal Experience |
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No Ties |
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What year of college/university have you most recently completed? Please check one box.
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1st Year undergraduate |
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2nd Year undergraduate |
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3rd Year undergraduate |
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4th Year undergraduate |
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5th Year undergraduate |
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None/Not Applicable |
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What field will you study in the United States? Please check one box.
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Accounting |
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Hospitality Management |
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Agriculture/Environmental Management |
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International Relations |
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American Studies |
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Journalism/Communications |
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Business |
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Law |
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Computer Science |
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Political Science |
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Criminal Justice |
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Psychology |
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Economics |
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Sociology |
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Education |
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Do Not Know |
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24. How do you think you will adapt to life in the United States? Please check one box.
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Very Difficult |
Somewhat Difficult |
Neither Easy Nor Difficult |
Somewhat Easy |
Very Easy |
Adapting to life in the United States will be… |
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Which best describes the geographic location where you live?
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My country’s capital city |
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Another major city in my country other than the capital |
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A small city, town or rural location in my country |
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Age: ______________
Home Country: _____________
Gender:
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Female |
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Male |
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Which religion do you most closely identify with? Please check one box.
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Baha’ism |
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Judaism |
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Buddhism |
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Shintoism |
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Christianity (for example: Orthodox, Catholic, Protestant) |
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Sikhism |
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Confucianism |
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Taoism |
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Hinduism |
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Zoroastrianism |
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Islam |
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None |
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Jainism |
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Other (please write in): ___________________ |
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What is your father’s current education level? Please check the appropriate level of schooling whether complete or incomplete.
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No formal education |
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Primary education (complete or incomplete) |
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Secondary education (complete or incomplete) |
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Technical |
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University—first degree |
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University—postgraduate degree (for example: Master’s or Ph.D.) |
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Do Not Know |
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What is your mother’s current education level? Please check the appropriate level of schooling whether complete or incomplete.
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No formal education |
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Primary education (complete or incomplete) |
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Secondary education (complete or incomplete) |
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Technical |
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University—first degree |
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University—postgraduate degree (for example: Master’s or Ph.D.) |
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Do Not Know |
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Thank you for completing this survey! If you have additional comments you would like to make, please do so here.
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How long did it take you to complete this survey? ______ minutes
File Type | application/msword |
File Title | Eurasia Undergraduate Program |
Author | kaschaff |
Last Modified By | R. A. Ciupek |
File Modified | 2008-06-10 |
File Created | 2008-06-05 |