Howard College Student Support Need Survey
Your privacy is important to us!
Howard College wants your educational journey to be a positive experience in your life. We know that sometimes our students have additional needs beyond their academic life, and we want to do everything we can to insure you have the supports you need to be successful. The answers you provide below will be confidential and will only be shared with your advisor so that they can help you navigate through resources and supports available to you.
Name
*
First Name
Last Name
Student ID Number
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Student enrollment status for the upcoming semester
*
Part-Time
Full-Time
The following best describes me as a student: (check only one)
*
Traditional student (I just graduated from high school and am seeking a degree or certificate)
Non-traditional student (I am older and starting college later in life and am seeking a degree or certificate)
Re-training student (I am employed and looking to learn new skills/re-train to improve my opportunities at my job)
Job-seeking student (I lost my job and am looking to learn new skills/re-train to get a job quickly)
Self-improvement student (I'm just interested in continuing my education in certain areas, not seeking a degree or certificate)
Living arrangements for the upcoming semester: (check only one)
*
At home with family
Residence hall on campus
Off campus with friends
Off campus on my own
Other
My current life status: (check all that apply)
*
Single
Divorced
Single/Head of household
Primary caregiver for parents/extended family
Single parent
Married with no children
Married with children
Other
Are you the first person in your family to go to college?
*
Please Select
Yes
No
Not sure
Do you currently work while attending college?
*
Please Select
Yes
No
Looking for work
If yes, how many hours do you work per week?
Do you feel like you experience any of the following personal life situations? (check all that apply)
*
Food insecurity (have difficulty buying adequate groceries on a regular basis)
Rent insecurity (having difficulty paying rent/mortgage on a regular basis)
Childcare (don't have/can't find childcare or have difficulty paying for childcare on a regular basis)
Technology needs (don't have a computer and/or internet connection at home)
Financial insecurity (need help paying for college classes, textbooks, and/or course materials)
Transportation needs (don't have reliable transportation to get to classes and/or work)
Issues taking care of my physical health
Issues taking care of my mental health
Adjusting to college and/or a new community
Fear of falling behind in my academics
Low sense of personal safety and security
Language needs (need help developing English as a Second Language)
Other
Have you submitted the Free Application for Federal Student Aid (FAFSA)?
*
Please Select
Yes
No
Don't know what this is
Have you submitted a Howard College scholarship application?
*
Please Select
Yes
No
I have a special circumstance that allows me to participate in a tuition assistance program (example: foster care program, vocational rehabilitation services, etc)
*
Please Select
Yes
No
Not sure
I would like to visit with the designated professional about special accommodation needs.
*
Please Select
Yes
No
I believe I would benefit from the following academic supports: (check all that apply)
*
One-on-one tutoring
Group tutoring
Study groups
Building study skills
Other
Besides yourself, who has helped you the most in making plans for your future?
*
Family member/parent/guardian
Teacher/high school counselor
Friend
Work supervisor, co-worker or work site mentor
Other
In your opinion, how prepared are you to undertake the plans you have made for yourself while attending college?
*
Not at all prepared
Somewhat prepared
Fairly well prepared
Very well prepared
When you graduate from this college, what do you plan to do? (check all that apply)
*
Not sure
Enter military service
Work part-time (less than 40 hrs per week)
Work full-time (40 hrs per week or more)
Attend job training
Attend a 4-yr college or university
Other
What type of student activities sound interesting to you? (check all that apply)
*
Student Government Association (SGA)
Leadership clubs/organizations
Religious clubs/organizations
Adventure club
Art based activities
Group student life activities (ex: movie nights, casino nights, grocery BINGO, etc. held on campus)
Athletic based activities
Career fairs
Transfer fairs involving colleges and universities
Financial awareness activities
Other
Is there anything else you think your advisor needs to be aware of in order to better assist you?
Please select your campus and assigned advisor:
*
Submit
Should be Empty: