KWC Withdrawal Questionnaire

Name*

First Last

KWC Student ID Number*

Date*

Please list your major. If you do not have a major, please enter "undecided"*

During the last term you were enrolled, were you employed? (Check all that apply)*

For multiple selections, press the Ctrl button while clicking the options.

Which student organizations have you been active with while enrolled at KWC? (Select all that apply)*

For multiple selections, press the Ctrl button while clicking the options.

What sport did you play?*

Please specify the group(s) you were involved with*

What are your plans following your withdrawal from KWC? (Select all that apply)*

For multiple selections, press the Ctrl button while clicking the options.

Please enter the school name you will be attending*

Please outline your plans*

Listed below are several categories that can be reasons for withdrawing from KWC. To what extent are the listed categories a reason for your withdrawal?

Academics*

	Major	Moderate	Minor	Not a reason
Course work too difficult
Course work not challenging
Courses were not available
Desired major not offered
Dissatisfied with major department
Dissatidfied with academic advising
Faculty

Personal Circumstances*

Employment*

Environmental*

Support Services*

Financial*

Athletics*

What is the best quality about KWC that you would recommend to a prospective student?*

What would you change about KWC?*

	Major	Moderate	Minor	Not a Reason
Not ready for college
Distance from family
Distance from friends
Illness
personal Problem(s)
Change in marital status
Relocating

	Major	Moderate	Minor	Not a Reason
Social atmosphere
Diversity
Housing
Size of college
Religious atmosphere
Social regulations
Campus safety

	Major	Moderate	Minor	Not a Reason
Admissions Office
Financial Aid Office
Registrar's Office
Cashier's Office
Student Life Office
Student Success Center
Career Services
Library
IT Services
Dining Services

	Major	Moderate	Minor	Not a Reason
Parents' financial status changed
My financial status has changed
Lost scholarship
Decrease in offered aid
Too much loan debt

	Major	Moderate	Minor	Not a Reason
Coach
Time commitment
Lack of playing time
Training facilities

	Major	Moderate	Minor	Not a Reason
Conflict between school and employment
Accepted a job