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Please help us learn more about Pitt-Johnstown’s first-generation students by completing this questionnaire. We define a first-generation student as a student whose parents/guardians have not earned a four-year degree.

Completion of this survey should take no more than 15 minutes. Please skip any question you prefer not to answer. Your responses are confidential. Thank you.

First Name (given, no nicknames please)

Last Name (given, no nicknames please)

Select your gender:

Male
Female
Non-Binary/Third Gender
Prefer to Self-Identify

Age in Years (ex. 17)

Race (please select all that apply)

American Indian or Alaska Native
Asian
Black or African American
Hispanic/Latino of any race
Native Hawaiian or Other Pacific Islander
White
Prefer to Self-Identify

What will be your residential status for the Fall 2021 semester?

Commuter - I will NOT be living in a campus residence hall
Resident - I will be living in a campus residence hall