SPACES Undergraduate Participant Tracking Form
SPACES Undergraduate Participant Tracking Form
Demographic Information
Name
Name
First
Last
PID
*
Email
Ethnicity: Select all that apply to you.
Ethnicity: Select all that apply to you.
African American/Black
American Indian/Alaskan Native
Asian Indian
Bangladeshi
Cambodian
Chinese
East Indian/Pakistani
Fijan
Pilipinx
Hmong
Indonesian
Japanese
Korean
Laotian
Latinx
Malaysian
Mexican/Chicanx
Middle Eastern/Southwest Asian
North Africa (SWANA)
Guamanian/Chamorro
Native Hawaiian
Samoan
Sri Lankan
Taiwanese
Thai
Tongan
Vietnamese
White/Caucasian
Other Asian
Other Pacific Islander
Other Spanish American/Latino
Decline to State/Don't Know
Other
Other
Gender
Gender
Female
Male
Trans
Decline to state
Sexual Orientation
Sexual Orientation
Heterosexual
Homosexual
Bisexual
Decline to State
Other
Other
Parent/Guardian Education Level 1
Parent/Guardian Education Level 1
Did not graduate from high school
High school graduate
Some college, no Bachelor's degree
4-year college graduate OUTSIDE the United States
4-year college graduate
Advanced Professional/Graduate degree
Ward of the state/former foster youth
Parent/Guardian Education Level 2
Parent/Guardian Education Level 2
Did not graduate from high school
High school graduate
Some college, no Bachelor's degree
4-year college graduate OUTSIDE the United States
4-year college graduate
Advanced Professional/Graduate degree
Ward of the state/former foster youth
Financial Support
Financial Support
Cal Grant
Pell Grant
UC Blue and Gold
Private Loans
California DREAM Act
AB540
Chancellor's Associates Scholarship
Gates Millennium Scholarship
G.I. Bill Education Benefits
CalVet Veterans Services College Fee Waiver
Women's Independence Scholarship Program
Guardian Scholarship for former foster youth
Regents Scholarship
No financial supports
Other
Other
Educational Information
Major(s)
Minor(s)
UC San Diego College
UC San Diego College
Earl Warren College
Eleanor Roosevelt College
John Muir College
Roger Revelle College
Sixth College
Thurgood Marshall College
How did you enter UC San Diego?
How did you enter UC San Diego?
As a freshperson, directly after graduating from high school
As a freshperson, not directly after graduating high school
As a transfer student from a 2-year college
As a transfer student from a 4-year college
Other
Other
Year Entered UCSD
Year Entered UCSD
2011
2012
2013
2014
2015
2016
2017
2018
Expected Graduation Year
Expected Graduation Year
2017
2018
2019
2020
2021
2022
2023
2024
2025
If you are planning to apply or were admitted into a graduate or professional school, please specify the program(s) and/or school(s) below:
If you are planning to apply or were admitted into a graduate or professional school, please specify the program(s) and/or school(s) below:
I plan to work directly after graduation. Do not plan on attending graduate/professional school.
I applied or plan to apply to a graduate/professional school for the next academic school year.
I plan to apply to a graduate/professional school sometime in the future.
I am enrolled or plan to enroll in a graduate or professional school after graduation.
If you have been accepted into a graduate or professional school and plan to enroll after graduation, please specify school and program.
Affiliations: Select the student organizations you participate in and/or resource centers you utilize.
Affiliations: Select the student organizations you participate in and/or resource centers you utilize.
Asian Pacific Islander Student Alliance (APSA)
Black Student Union (BSU)
Kaibigang Pilipin@ (KP)
Movimiento Estudiantil Chican@ de Aztlán (MEChA)
Muslim Student Association (MSA)
Native American Student Association (NASA)
Queer and Trans People of Color (QTPOC)
Student Promoted Access Center for Education and Service (SPACES)
Asian Pacific Islander Middle Eastern Desi American Programs (APIMEDA)
Black Resource Center
Cross Cultural Center
LBGT Resource Center
Office of Academic Support and Instructional Services (OASIS)
Raza Resource Centro
TRiO Student Support Services
Women's Center
Chancellor's Associated Scholars Program
Student Veterans Resource Center
Undocumented Student Services Center
Academic Enrichment Program
No affliations or use of campus services
Other
Other