Qualtrics Survey | Qualtrics Experience Management

Thank you for your interest in becoming a Phuture Phoenix Role Model for the 5th grade campus visits! Please fill out the following form and someone will be in touch with you soon.

Please provide your name.

Please provide your student email address (@uwgb.edu).

How did you hear about Phuture Phoenix?

I've participated before
An advisor suggested I look into it
I'm looking for experience to add to my resume
I saw a poster about it
My professor promoted it in class
I have a friend that's doing it and they asked me to do it, too
I saw it on the website
Other (please explain)

Are you interested in participating in both visits to earn a credit?

Yes
No
Maybe

Thank you for completing the survey! A Phuture Phoenix representative will be in touch soon. Please watch your email for more information. Do you have any questions right now?