Qualtrics Survey | Qualtrics Experience Management

Full Name:

CSUSM Student ID#:

Email Address:

Phone Number (including area code):

Full Local Address:

Mailing Address (if different from above):

Are you receiving financial aid?

Select your CoBA Option:

Current Cumulative GPA:

Expected Graduation:

Are you a student employee or employee of CSUSM?

Will you be driving during this trip and claim mileage?