Astin Survey Student Consent Form

PURPOSE OF THE STUDY

You are asked to complete this survey as part of a national study conducted by the Higher Education Research Institute (HERI) at the University of California, Los Angeles. This Study is designed to determine what happens to students when they attend college. Since 1965, over 13 million students at over 1,900 colleges and universities have participated in this research. The data gathered are used in studies designed to better understand student learning and development and to help improve the quality of college education. Your participation in this research study (or decision not to participate) will not affect your relationship with your college nor your grades.

For more information on the Astin Survey, click here.

Student Information

First Name *

Last Name *

UMID

E-mail Address *

As of today, are you 18 years of age or older? *YesNo

STUDENT - I certify that all of the information provided on this consent form is accurate and ture and that I am the person submitting the information. I have read the information given above. I understand the meaning of this information. I hereby consent to participate in this survey as evidenced by submission of my e-mail address and launch of the survey. *YesNo

Parent/Guardian First Name *

Parent/Guardian Last Name *

Street Address *

City *

State *

Zip Code *

PARENT - I certify that all of the information provided on this consent form is accurate and ture and that I am the person submitting the information. I have read the information given above. I understand the meaning of this information. I hereby consent to participate in this survey as evidenced by submission of my e-mail address and launch of the survey. *YesNo

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University of Michigan - Flint

Astin Survey Student Consent Form

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