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Congratulations on making it to the start of a new school year! We would like to be sure that we have your up-to-date contact and school information. Please take a few minutes to complete the following survey and click "Submit" when you are finished.

(Note: Unless we receive your updated address, we cannot send you a care package this fall!)


Contact Info

First Name:

Last Name:

College Attending:

Email Address
(the one you check most often):   

High School Graduation Year:

Please fill out your current HOME address and phone number:

Street Address:

Apartment:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

If you are living on campus please also list your SCHOOL address:

Box Number:

Street Address:

City:

State:

Zip Code:



Feedback About Your Experience

In order for us to get a better sense of how the past year went, please take the time to answer the following questions. This will give you an opportunity to tell your new counselor about yourself, about your school, and about anything else that you think they should know.

How would you rate your school in terms of:

Classes

Social Atmosphere

Food

Things to do on campus

Additional comments:


What do you like most about your college?

What do you like least about your college?

Are you involved in any activities on campus? If so, what are they?



What was the most helpful thing that your Bottom Line counselor did for you last year?

What are two things that you would like your BL counselor to help you with this year?

Additional comments:


Is there anything else that you would like your Bottom Line counselor to know about you before he/she starts to work with you this year?


Thank you for taking the time to respond to our survey. Please push the "Submit" button when finished.