In the past 12 months have you had to skip meals or cut the size of meals because you did not have enough food or money?

  • Yes
  • No

In the past 12 months have you been homeless or forced to move because you were unable to pay household expenses?

  • Yes
  • No

Please describe your current transportation situation:

  • I own a reliable vehicle and have transportation to and from school as well as appointments and important meetings.
  • I do not own a vehicle but have reliable transportation to and from school as well as appointments and important meetings.
  • I own a vehicle that often breaks down and is not reliable.
  • I currently have no way to get to and from school or appointments and meetings.
  • Other

I plan to live on campus.

  • Yes
  • No

What best describes your current employment situation? 

  • Full-time (32 + hours/week)
  • Part-time (under 32 hours/week)
  • Currently not working
  • Displaced worker
  • Intern
  • Full-time student

What is the total income brought into your home?

  • $0-$18,210
  • $18,211-$24,690
  • $24,691-$31,170
  • $31,171-$37,650
  • $37,651-$44,130
  • $44,131-$50,610
  • $50,611-$57,090
  • $57,091-$63,570
  • $63,571+
  • I don't know

Do you feel you have adequate funding to attend college and buy all necessary materials?

  • Yes
  • I am able to pay my tuition and fees, but am unsure about how I will pay for other learning materials such as books and tools.
  • I do not know if I will be able to pay for college.
  • I am aware of the financial assistance available to help me pay for my education at WCCC.

Do you have any children or dependents.

  • Yes
  • No

If you have children requiring childcare, please describe your current situation (check all that apply):

  • My child/children attend a day care center during times that meet my needs.
  • My child/children stay with a family member, friend, or babysitter during times that meet my needs.
  • There are gaps in my childcare that will make it difficult to attend school, appointments and important meetings.
  • I have no childcare and am unsure what I am going to do once school begins.
  • I have no childcare and am unable to afford it at this time.

Are you coming to WCCC as a (please check all that apply):

  • Transfer Student
  • Single Parent
  • Direct from High School
  • Adult Learner (25+ years old)
  • Member of the workforce
  • Recently Unemployed
  • Other

How confident are you in the following areas?

    Major Choice

  • Very Confident
  • Confident
  • Somewhat Confident
  • Not Confident

Attending College

  • Very Confident
  • Confident
  • Somewhat Confident
  • Not Confident

Time Management

  • Very Confident
  • Confident
  • Somewhat Confident
  • Not Confident

Study Habits

  • Very Confident
  • Confident
  • Somewhat Confident
  • Not Confident

Test Taking Skills

  • Very Confident
  • Confident
  • Somewhat Confident
  • Not Confident

Seeking Help

  • Very Confident
  • Confident
  • Somewhat Confident
  • Not Confident

Mathematics

  • Very Confident
  • Confident
  • Somewhat Confident
  • Not Confident

Science

  • Very Confident
  • Confident
  • Somewhat Confident
  • Not Confident

Writing

  • Very Confident
  • Confident
  • Somewhat Confident
  • Not Confident

Reading

  • Very Confident
  • Confident
  • Somewhat Confident
  • Not Confident

I chose to attend WCCC because (check all that apply):

  • I want to graduate with a degree.
  • I want to complete my general education requirements and transfer.
  • I am here exploring career options.
  • I felt pressure to attend college.
  • It felt like a natural next step.
  • I need to further my education for job advancement.