Yes, No

Children

Are you currently employed in the institution’s state?
Are you currently employed within “service area”
Are you currently using an ePortfolio to gather artifacts of student learning in at least one of your courses?
Did you formally report the incident to the school?
Did you have employment in the field of law 10 months after graduation?
Did you have employment in the field of law at graduation?
Did you seek medical attention?
Did you seek services or contact a hotline after the incident?
Did you use the school's formal procedures to report the incident(s)?
Did you use the school's formal procedures to report this incident(s)?
Do you always require multifactor (username/password, biometric, phone app) authentication when students take an online high-stakes quizz or exam.
Do you assist students with forming study groups for your class?
Do you currently have an active ePortfolio?
Do you feel that issues of diversity and inclusion are adequately addressed...By faculty
Do you feel that issues of diversity and inclusion are adequately addressed...By school leadership
Do you feel that issues of diversity and inclusion are adequately addressed...In class
Do you feel that issues of diversity and inclusion are adequately addressed...In school communication
Do you feel that issues of diversity and inclusion are adequately addressed...In student organizations
Do you feel that issues of diversity and inclusion are adequately addressed...In the curriculum (e.g., textbooks)
Do you feel that issues of diversity and inclusion are adequately addressed...In the school mission
Do you feel that the communities you belong to are appropriately represented in your school's...Communications
Do you feel that the communities you belong to are appropriately represented in your school's...Curriculum (e.g., textbooks)
Do you feel that the communities you belong to are appropriately represented in your school's...Events
Do you feel that the communities you belong to are appropriately represented in your school's...Faculty
Do you feel that the communities you belong to are appropriately represented in your school's...I feel that the communities I belong to are missing completely from my school environment.
Do you feel that the communities you belong to are appropriately represented in your school's...Recruiting
Do you feel that the communities you belong to are appropriately represented in your school's...Staff
Do you feel that the communities you belong to are appropriately represented in your school's...Student body
Do you feel that the communities you belong to are appropriately represented in your school's...Student organizations
Do you have Student Health Center health insurance for yourself?
Do you reside within the institution’s local community?
Do you understand how to use your Student Health Center benefits?
Do you use predictive enrollment data from the course management system (e.g. DegreeWorks) to plan future course offerings.
Does you department publicize its tutoring service on its web site?
Does your department have a functional advisory board?
Does your department provide tutoring support directly to students (not through the tutoring center)?
During the current school year have you done the following with the undergraduate students you teach or advise - Discussed course topics, ideas, or concepts outside of class?
During the current school year have you done the following with the undergraduate students you teach or advise - Discussed their academic performance?
During the current school year have you done the following with the undergraduate students you teach or advise - Talked about their career plans?
During the current school year have you done the following with the undergraduate students you teach or advise - Worked on activities other than coursework (committees, student groups, etc.)?
During the current school year, have you participated in - Mentoring or teaching undergraduates completing a culminating senior experience (capstone course, senior project or thesis, comprehensive exam, portfolios, etc.)?
During the current school year, have you participated in - Supervising undergraduate internships or other field experiences?
During the current school year, have you participated in - Supervising, mentoring, or teaching undergraduates in a learning community or some other formal program where groups of students take two or more classes?
During the current school year, have you participated in - Working with undergraduates on research?
During the last school year, have you participated in - Supervising undergraduates in a short-term study abroad program?
Have you attended a workshop on grant writing, or participated in a grant writing community in the last year?
Have you attended a workshop on pedagogical skills or student learning assessment in last year?
Have you attended a workshop on research skills in the last year?
Have you chaired or co-chaired a committee at this institution within the last five years?
Have you consulted with a staff member in Faculty Development on a course related matter in the past year
Have you experienced disrespectful or disruptive behavior from students in the classroom in at least one course in the past year?
Have you included undergraduates in research in at least one course in the past year?
Have you incorporated service learning in at least one course in the past year?
Have you Issued a Digital Badge to Reward Exceptional Student Performance in at least one of your courses in the last two years?
Have you required an open educational resource (OER) instead of a commercial textbook in at least one course in the past year?
Have you required multiple drafts of student written work for progressive feedback in at least one course in the past year?
Have you required student presentations in at least one course in the past year
Have you served on an accreditation team site visit within the last five years?
Have you spent a good amount of class time addressing student questions in at least one course in the past year?
Have you taught an undergraduate course during the current school year?
Have you team taught in at least one course in the past year?
Have you used a Peer Mediated Focus Group for Formative Feedback in at Least One Course?
Have you used a Rubric to Evaluate an Assignment in at Least One Course in the last two years?
Have you used a rubric to score a course assignment within the last year?
Have you used formative assessment (e.g. student response systems, muddiest point feedback) to test and strengthen learning in at least one course in the past year?
Have you used game based learning in at least one course in the past year?
Have you used group work to test and strengthen learning in at least one course in the past year?
Have you used in-class or online discussions to test and strengthen learning in at least one course in the past year?
Have you used student assigned projects to test and strengthen learning in at least one course in the past year?
Have you used student ePortfolios to test and strengthen learning in at least one course in the past year?
Have you, within the last 10 years, served or currently serve in an academic leadership role (Dept chair or above)?
Have you, within the last five years, volunteered as an officer of an academic professional organization?
If you are in a management position have you and your supervisor identified and have you initiated the mentoring process with a qualified potential successor for your position?
If you completed a pre-professional program (e.g. pre-med) at our institution did you subsequently get admitted to a post-graduate professional school?
Is your selected course section in the same academic discipline as your appointment?
Since the beginning of the current school year (Fall 2019), did you ever cut the size of your meals or skip meals because there wasn't enough money for food?
Since the beginning of the current school year (Fall 2019), did you ever eat less than you felt you should because there wasn't enough money for food?
Since the beginning of the current school year (Fall 2019), did you ever not eat for a whole day because there wasn't enough money for food?
Since the beginning of the current school year (Fall 2019), did you lose weight because there wasn't enough money for food?
Since the beginning of the current school year (Fall 2019), have you seriously considered leaving this school?
Since the beginning of the current school year (Fall 2019), were you ever hungry but didn't eat because there wasn't enough money for food?
Since the beginning of the current school year, did you ever experience one or more of the following situations: Not pay or underpay your rent or mortgage; Experience a rent or mortgage increase that made it difficult to pay; Get evicted from your home; Move in with other people, even for a little while, because of financial problems; Live with others beyond the expected capacity of the house or apartment; Stay temporarily at a hotel or motel without a permanent home to return to (not on vacation or business travel); Stay at a shelter; Stay in an abandoned building, an automobile, an outdoor location, or any other place not meant for regular housing, even for one night; Not know where you were going to sleep at night, even for one night.
Since the beginning of the current school year, have you actively taken part in activities or volunteered your time on projects focused on stopping sexual violence on campus?
Since the beginning of the current school year, have you had a casual, steady, or serious dating or intimate partner (including a spouse)?
Since the beginning of the current school year, have you had a friend or acquaintance tell you that they were the victim of an unwanted sexual experience?
Since the beginning of the current school year, have you had a friend or acquaintance tell you that they were the victim of harassment or discrimination?
Since the beginning of the current school year, have you observed a situation that you believed was, or could have led to, a sexual assault?
Since the beginning of the school year have you observed someone on campus being shunned, ignored, or intimidated, or treated in an offensive, or hostile manner?
Were you physically injured in the incident?
When delivering high stakes quizzes and exams online are the questions always presented in a randomized order?
Within the last two years have you consulted with a staff member in Faculty Development on a course related matter?
Within the last two years have you used a flipped classroom approach within at least one of your courses?
Within the last two years have you used digital stories within at least one of your courses?
Within the last two years have you used experiential learning within at least one of your courses?
Within the last two years have you used game based learning within at least one of your courses?
Within the last two years have you used peer learning activities within at least one of your courses?
Within the last two years have you used student learning communities within at least one of your courses?
Within the last two years have you used undergraduate research within at least one of your courses?
Within the last two years have you used writing across the curriculum (WAC) within at least one of your courses?
Within the last two years have you used writing within the disciplines (WID) within at least one of your courses?
Would you like to learn more about how to use your Student Health Center benefits?

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