Background Information

This survey is done to enhance the quality of services offered at Wallace Community College Selma(WCCS). The information you supply on this questionnaire will be kept completely confidential.

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* 1. Which semester will you graduate?

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* 2. Name:

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* 3. Permanent Address:

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* 4. Home Phone Number:

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* 5. Student Number:

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* 6. College You Plan to Attend:

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* 7. Place of Employment:

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* 8. Employer's Address:

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