Please select and submit the following information once per semester. Thanks!
Student Demographic Data Sheet
Your Name
*
Age Group
*
Traditional <23
Non-Traditional >24
No Response
Ethnicity
*
African American
American Indian
Asian Pacific Islander
Caucasian-White
Foreign Student
Hispanic
No Response
Other
Major
*
Accounting
Agriculture
Associate of Arts
Associate of Science
Automotive Technology
Business
CAD
Clinical Lab Science
Computer Science
Cosmetology
Criminal Justice
Diesel Mechanic
Early Childhood Education
Education
Forest & Wood Technology
HVAC
Human Services
Industrial Maintenance
IT
Jewelry/Metals Studio Technology
Nursing
Office Systems
Physical Therapy Assistant
Pre-Pharmacy
Psychology
Radiography
Social Work
Undecided
No Response
Gender
*
Male
Female
No Response
Campus
*
Hazard
Knott Branch
Lees-Jackson
Allied Health
Image Verification
Please enter the text from the image
:
[
Refresh Image
] [
What's This?
]
Information is collected for tracking student services supplied by the ARC. All information is confidential. Any questions please let us know. Thanks!
