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Wayne State University
Warrior strong
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Warrior 360 Momentum Form
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Welcome to Warrior 360!
We are so excited to welcome you to campus for Momentum Week and support you in your academic journey, overall college experience, and road to graduation!!
Please take some time to help us get to know you better to best support you during Momentum Week and beyond!
We ask that you complete this survey
on your own
, so that we can learn the most about you and your experiences.
Important Note:
Momentum Week will take place Saturday, July 13th through Saturday, July 20th. Momentum Week is the single most important experience we can engage you in so that you will be successful in the Fall. Our number one priority is to present you with opportunities to maximize your college experience. As a result
Momentum Week is mandatory and required for all new Warrior 360 members. We are so excited for you to kickstart your college experience in every way during Momentum Week!
First Name
Preferred Name
Middle Name
Last Name
Birthdate
Birthdate
January
February
March
April
May
June
July
August
September
October
November
December
1
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2024
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1911
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1907
1906
1905
1904
1903
1902
1901
1900
As of June 22, 2024, will you over 18 years old?
As of June 22, 2024, will you over 18 years old?
Yes
No
Email Address
Access ID (2 Letters and 4 numbers)
Mailing Address
Mailing Address
Country
Street
City
Region
Postal Code
Momentum Week is a weeklong overnight pre-college experience. This summer's Momentum Week is scheduled for July 13th - July 20th. Would you like to RSVP now for this experience?
Momentum Week is a weeklong overnight pre-college experience. This summer's Momentum Week is scheduled for July 13th - July 20th. Would you like to RSVP now for this experience?
RSVP me now, I'm in!
No, I would not like to attend Momentum Week.
During Momentum, you will be randomly matched with a roommate based on the sex that was indicated on your application (i.e. Male or Female). If you have a different gender expression/identity, please indicate below your roommate preference for gender identity or make a separate request for a Gender Inclusive housing assignment.
During Momentum, you will be randomly matched with a roommate based on the sex that was indicated on your application (i.e. Male or Female). If you have a different gender expression/identity, please indicate below your roommate preference for gender identity or make a separate request for a Gender Inclusive housing assignment.
Female
Male
Non-Binary
Other
Please explain:
I request Gender Inclusive Housing (A Warrior 360 Staff Member will reach out to you).
I request Gender Inclusive Housing (A Warrior 360 Staff Member will reach out to you).
Yes
No
Preferred Pronouns (Select all that apply)
Preferred Pronouns (Select all that apply)
He/Him
She/Her
They/Them
Ne/Nir/Nirs
Per/Pers
Fae/Faer
Co/Cos
E/Ey/Em/Eir
Mer/Mers
Nee/Ner/Ners
Thon/Thons
Ve/Vis/Ver
Vi/Vir
Xe/Xem/Xyr
Ze/Zie/Zir/Hir
What is your first preferred method of contact?
What is your first preferred method of contact?
Phone Call
Email
Text Message
Other
How would you like to be contacted?
What is your second preferred method of contact?
What is your second preferred method of contact?
Phone Call
Email
Text Message
Other
How would you like to be contacted?
What is the best day to contact you?
What is the best day to contact you?
Monday
Tuesday
Wednesday
Thursday
Friday
What is the best time to contact you?
What is the best time to contact you?
9:00a.m. - 12:00p.m.
12:00p.m. - 3:00p.m.
3:00p.m. - 6:00 p.m.
Other
When would you like to be contacted?
Do you have any specific dietary needs, restrictions, or allergies? (Select all that apply)
Do you have any specific dietary needs, restrictions, or allergies? (Select all that apply)
Vegetarian
Vegan
Gluten-Free
Nut Allergy
Halal
Kosher
None
Other
Please explain:
Are there any accommodations that we need to consider in regards to your participation in Warrior 360 meetings and events? (Please explain)
Please provide contact information for your supporting cast member, if applicable (This can be a parent, aunt or uncle, grandma or grandpa, foster parent, brother or sister, or anyone you would like to support you outside of the support you receive in Warrior 360.)
What is a supporting cast member?
A supporting cast member can be any individual who supports your success to graduation.
We will share information with your supporting cast member about common college resources, events and success strategies. We will NOT share information about grades, financial aid, etc.
We will only reach out to your supporting cast member a few times a semester. You can always update your supporting cast member contact at a later date, if desired.
This is different from your emergency contact, but it is okay if your supporting cast member is also listed as one of your emergency contacts.
First Name
Last Name
Email
Phone Number
Relationship to you
Brother
Sister
Mother
Father
Legal Guardian
Step-Father
Step-Mother
Aunt
Uncle
Grandmother
Grandfather
Other
Your safety and wellbeing are our top priorities! We are asking that you list your emergency contact information in order for us to provide you with the best support possible in the event of an emergency. Please keep in mind that this person will ONLY be contacted if there is an emergency.
Please provide emergency contact information.
Delete
_ID_
First Name
Last Name
Email
Phone Number
Relationship to you
Brother
Father
Legal Guardian
Mother
Sister
Step-Father
Step-Mother
Add Additional Emergency Contact
Please answer the following questions about your basic needs so that we can best support you on-campus this fall. We want to make sure that you have access to essential resources so that you can focus on adjusting to campus and succeeding academically! This information will be confidential but will help us provide you with the best on-campus resources to support your success at Wayne State University.
This upcoming fall, do you anticipate having safe, reliable housing?
This upcoming fall, do you anticipate having safe, reliable housing?
Yes
No
This upcoming fall, do you anticipate having sufficient access to food?
This upcoming fall, do you anticipate having sufficient access to food?
Yes
No
Check out
this resource
!
This upcoming fall, do you anticipate having access to essential items (i.e. food, clothing, etc.)?
This upcoming fall, do you anticipate having access to essential items (i.e. food, clothing, etc.)?
Yes
No
This upcoming fall, do you anticipate having access to reliable internet?
This upcoming fall, do you anticipate having access to reliable internet?
Yes
No
This upcoming fall, do you anticipate having a personal laptop?
This upcoming fall, do you anticipate having a personal laptop?
Yes
No
This upcoming fall, what technology do you plan to use to complete your coursework? (Select all that apply.)
This upcoming fall, what technology do you plan to use to complete your coursework? (Select all that apply.)
Laptop
Desktop Computer
Tablet
Phone
Other
Please explain:
This upcoming fall, do you anticipate having access to reliable transportation?
This upcoming fall, do you anticipate having access to reliable transportation?
Yes
No
Will you be living on campus this fall?
Will you be living on campus this fall?
Yes - in a residence hall
Yes - in an apartment
No - I will be commuting
I don't know yet
If you will be living in a WSU residence hall this fall, where will you be living?
Ghafari
Atchison
The Towers Residential Suites
The Thompson Suites
Chatsworth Suites
Anthony Wayne Drive Apartments
University Towers Apartments
I don't know yet
Are there any other needs that you currently have and would like to share with us?
The following questions will help us understand how you are feeling about starting at WSU this fall semester. This information will be important in supporting your success as a WSU student!
(1 - lowest, 5 - highest)
How do you feel about participating in the Warrior 360 Program this fall?
1
2
3
4
5
How do you feel about participating in the Warrior 360 Program this fall?
When you start school in the fall, how well do you think that you'll feel supported by friends and family?
When you start school in the fall, how well do you think that you'll feel supported by friends and family?
How confident do you feel locating your classes on Wayne State's campus?
How confident do you feel locating your classes on Wayne State's campus?
How confident do you feel about succeeding in your classes this fall?
How confident do you feel about succeeding in your classes this fall?
How confident do you feel about speaking up and asking questions during a lecture?
How confident do you feel about speaking up and asking questions during a lecture?
How confident do you feel that you will communicate with your professor?
How confident do you feel that you will communicate with your professor?
How confident do you feel asking for help if you need it?
How confident do you feel asking for help if you need it?
How confident are you that Wayne State University will be a good fit for you?
How confident are you that Wayne State University will be a good fit for you?
How confident are you in the major or program of study that you've selected?
How confident are you in the major or program of study that you've selected?
How confident are you in your ability to pay for college and buy school supplies?
How confident are you in your ability to pay for college and buy school supplies?
How comfortable are you accessing tutoring services during the upcoming fall semester?
How comfortable are you accessing tutoring services during the upcoming fall semester?
How confident are you that you will make friends at WSU during the upcoming fall semester?
How confident are you that you will make friends at WSU during the upcoming fall semester?
How prepared do you feel to start and succeed in classes during the upcoming fall semester?
How prepared do you feel to start and succeed in classes during the upcoming fall semester?
How confident are you in understanding how to contact your success coach and success partner?
How confident are you in understanding how to contact your success coach and success partner?
How confident are you in understanding the services that are offered through Warrior 360?
How confident are you in understanding the services that are offered through Warrior 360?
How confident are you in your time-management and study skills?
How confident are you in your time-management and study skills?
How confident are you in your ability to use your computer to complete assignments?
How confident are you in your ability to use your computer to complete assignments?
Please respond to all of the following statements honestly:
I know what services are offered through Warrior 360.
I know what services are offered through Warrior 360.
No
Mostly No
Somewhat
Mostly Yes
Yes
I know how to get in contact with my Warrior 360 Success Coach (Professional Staff Member).
I know how to get in contact with my Warrior 360 Success Coach (Professional Staff Member).
No
Mostly No
Somewhat
Mostly Yes
Yes
I know how to get in contact with my Warrior 360 Success Partner (peer student).
I know how to get in contact with my Warrior 360 Success Partner (peer student).
No
Mostly No
Somewhat
Mostly Yes
Yes
I know where the Warrior 360 office is located on Wayne State's campus.
I know where the Warrior 360 office is located on Wayne State's campus.
No
Mostly No
Somewhat
Mostly Yes
Yes
I know where to get tutoring, time-management, and study skills help.
I know where to get tutoring, time-management, and study skills help.
No
Mostly No
Somewhat
Mostly Yes
Yes
Please answer all of the following questions to the best of your ability.
When in high school, on average, how many hours a week did you study?
When in high school, on average, how many hours a week did you study?
I did not study outside of class.
1-2 hours
3-4 hours
4-5 hours
5+ hours
How satisfied were you with your academic performance in high school?
How satisfied were you with your academic performance in high school?
Not at all satisfied
Somewhat satisfied
Mostly satisfied
Very satisfied
I made the decision to come to college.
I made the decision to come to college.
Yes
No
Who helped you in the decision to come to college?
Who helped you in the decision to come to college?
I made the choice myself
Family members
High school counselor
Friends
Other
Please explain:
My family supports my decision to go to college.
My family supports my decision to go to college.
Yes
Somewhat
No
During the upcoming semester, what type of grades do you expect to earn in your classes?
During the upcoming semester, what type of grades do you expect to earn in your classes?
Mostly A's
Mix of A's and B's
Mostly B's
Mix of B's and C's
Mostly C's
Grades lower than C's
During the upcoming semester, how many student organizations do you plan to join/participate in?
During the upcoming semester, how many student organizations do you plan to join/participate in?
0
1
2
3
4
5
5+
During the upcoming semester, how many hours a week do you plan to study?
During the upcoming semester, how many hours a week do you plan to study?
I do not plan to study outside of course attendance.
1-2 hours
3-4 hours
4-5 hours
5+ hours
When would you like to graduate?
When would you like to graduate?
I plan to graduate in 4 years.
I plan to graduate in 5 years.
I plan to graduate in 6 years.
I am not sure how long it will take me to graduate.
The following questions will help us understand how we can support you in navigating financial aid. Please answer the questions to the best of your ability.
I have completed my FAFSA.
I have completed my FAFSA.
Yes
No
I'm not sure
Have you reviewed your financial aid letter in Academica?
Have you reviewed your financial aid letter in Academica?
Yes
No
I'm not sure
I am worried about my student loan debt.
I am worried about my student loan debt.
Yes
Mostly yes
Somewhat
Mostly no
No
I don't plan to take out student loans
Do you have the necessary supplies needed to start the fall semester? (i.e. school supplies, textbooks, etc.)
Do you have the necessary supplies needed to start the fall semester? (i.e. school supplies, textbooks, etc.)
Yes
No
Fun Information!
What is your T-shirt size? (Unisex)
What is your T-shirt size? (Unisex)
X-Small
Small
Medium
Large
X-Large
XX-Large
XXX-Large
4X
5X
What is your favorite color?
What is your favorite candy?
What is your favorite food?
What is your favorite hobby/hobbies?
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