All information provided is keep anoymous and only used to provide feed back to the Services for Undocumented Students at UC Merced. Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year * Major * Is this your first time meeting with a student coordinator? Yes/No Who did you meet with? Why did you come in to speak to a Student Coordinator? Overall how successful/helpful was this meeting? Where 1 is not not succesful and 10 being very succesful. 12345678910 How did you hear about our services? Leave this field blank
