Pre-Departure Survey Form

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DSU – OFFICE OF INTERNATIONAL STUDENT SERVICEES
PRE-DEPARTURE SURVEY
Congratulations on your participation in the Study Abroad Program. To help the Office of International Student Services (OISS) better
understand your experience and interest in traveling and studying abroad we are asking you to participate in this brief survey. The
information collected from this survey will help the Office of International Student Services develop and market these programs to
other DSU students. If you agree to be apart of this study, you will be asked to complete this survey regarding your perceptions of
studying abroad. It should take approximately 10 minutes. The data collected will remain confidential (no one will be able to identify
you) and used for statistical purposes. Your participation is strictly voluntary and your responses will remain confidential. In
responding to this survey, please check or list one answer unless prompted to do otherwise.
Personal Information
1.
Classification:
Sophomore
2.
Gender:
3.
Race/Ethnicity (Check only one):
Female
Junior
Senior
Graduate Student
Other
Black/African American
White/Caucasian
Latino/Hispanic
Native American
Other______________________________
Male
Asian/Pacific Islander
4.
Major:__________________________________
5.
How did you hear of the study abroad program?
OISS
6.
Other______________________
Parent/Guardian
Friend
Other ______________________
Have you travelled outside of the United States?
Yes
8.
Professor/Mentor
Who greatly influenced your decision to participate in the study abroad program?
Mentor/Professor
7.
Friend
No
If you answered NO to #7, please proceed to #9. If you answered yes to #7, please list where you have travelled?
________________________________________________________________________________________________________
Views about Study Abroad
9. Why are you participating in this program? Check all that apply!
Learn about another culture
Opportunity to travel
Become more independent
Opportunity to serve abroad
Improve foreign language skills
Take classes not offered at DSU
Prepare for graduate school
Enhance resume
Learn about myself
Meet new people
Other (Please Explain) _________________________________________________
10. What do you perceive as the greatest benefit(s) of studying abroad? Check all that apply!
Interacting with another culture
Learning a new language
Traveling, seeing the world
Networking
Building friendships around the world
Enhancing my resume
Increasing my self confidence
Learning about the history, geography, economy, art of another region of the world
Other (Please Explain) ___________________________________________________________________
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11. What are your perceptions of studying abroad?
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
12. What are your reservations about studying abroad?
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
13. What are your expectations of your Study Abroad experience?
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
14. What are your concerns in regards to studying abroad?
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
15. What do you hope to learn and gain from your experience in the program?
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
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