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Writing Center Student Information
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Writing Center Student Information
Stark Writing Center Student Information
The following information will help us track and improve our service both to you and to the Kent State Stark community in general.
You only need to supply this information to us once per academic year.
Today's Date:
mm/dd/yy
Your Full Name:
Your Kent Student ID #:
Your Major:
Your Class Standing:
--Select--
PSEO/High School
Freshman
Sophomore
Junior
Senior
Graduate
Faculty
Other
If other, please describe:
Is English your native language:
Yes
No
How did you hear about the Writing Center:
Instructor
Friend
Orientation Class
Poster/Flier
Brochure
Website
Presentation
Other
The following information is being gathered to further research into writing center theory and practice.
You are not required to disclose this information
, though your responses would be greatly appreciated. In some cases, your answers may help your tutor address your specific writing issues. All information will be kept strictly confidential.
Your Age:
Your Sex:
Male
Female
Your Race / Ethnicity:
Caucasian (White)
African American (Black)
Hispanic or Latino
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Non-U.S. Citizen
Do you have a diagnosed learning disability that you are willing to disclose:
Yes
No
If yes, please describe:
Thank you for completing this information for the Writing Center. Please click the button below to submit your information.