1. The lifeline of many institutions are the contributions (large and small), gifts and bequests made by alumni. What has prompted you or would prompt you to become a benefactor of Kentucky State University?
  2. Would you like someone at Kentucky State University to call you to discuss any questions or issues? ☐ Yes ☐ No Name: ___
  3. Phone Number: ___
  4. Email: ___
  5. Best time to contact: ___
  6. Do you have any comments you would like to share to improve the level of service provided to you by Kentucky State University?

Demographics

  1. What is your class year? (If you have more than one degree, please list in order of obtaining) _____
  2. Are you?
  3. Are you? ☐ Male ☐ Female
  4. African-American or Black
  5. American Indian or Alaskan Native
  6. Asian
  7. Caucasian or White
  8. ☐ Interracial
  9. Native Hawaiian or Pacific Islander
  10. □ Other . What is your age range? □ 25 or younger □ 26-35 □ 36-45 □ 46-55 □ 56-65 □ 66-75 □ 75 or older
  11. What is your age range? ☐ 25 or younger ☐ 26-35 ☐ 36-45 ☐ 46-55 ☐ 56-65 ☐ 66-75 ☐ 75 or older
  12. Which of the following best describes your employment status?
  13. Which of the following best describes your employment status?
  14. Employed, working 1-39 hours per week
  15. Employed, working 40 or more hours per week
  16. ☐ Not employed, seeking work
  17. Not employed, full-time student
  18. Semi-Retired
  19. ☐ Retired
  20. Disabled
  21. Other
  22. Are you a first-generation college graduate? ___ ☐ Yes ☐ No

Thank you very much for taking the time to share your roginions and provide insight regarding how Kentucky State University can enhance services they deliver to you.

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