Fall 2017 Exit Clearance Survey

Student Demographics

* 1. Student ID

we will not release your ID to anyone or any department. The purpose of asking your ID here is to verify that you have taken this survey and will clear you off of the graduation checkout survey requirement.

• 2. What degree are you currently graduating at Kentucky State University?
• What degree are you currently graduating at Kentucky State University?

Certificate Associate Baccalaureate Master Doctoral

3. Did either of your parents attend Kentucky State University?
3. Did either of your parents attend Kentucky State University?
4. Did any of your sibling or relatives attend Kentucky State University?
4. Did any of your sibling or relatives attend Kentucky State University?

○ No ○ Yes (please specify the name and your relationship) ___