Survey

Thank you for taking the time to complete the following survey. Your responses will help the University Center-Rapid City determine which programs best meet the educational needs of our community. Once you submit the survey, your name will be entered into a drawing for a University Center Bookstore gift card. The University Center-Rapid City represents a partnership of South Dakota’s six public universities working cooperatively to deliver accessible, high-quality education in one convenient location.
I. Please provide the following information about yourself:
Name: *
 
Address: *
 
City: *
 
State: *
 
Zip: *
  
Telephone:
 
E-Mail:
 
Gender: *
 
Age Group: *
 
Are you active duty military?: *
 
Highest Level of Education Completed: *
 
If you have completed a post-secondary degree, please list where:
Educational Goal: *
 
If other, please specify:
If you are not currently attending school, please provide a reason why:
If other, please specify:
II. Please indicate your preferred method(s) of delivery for a traditional 3 credit class by checking the box or boxes next to the options listed below.
Face-to-Face in Rapid City during the Daytime:



If other, please specify:
Face-to-Face in Rapid City during the Evening:




If other, please specify:
Distance Education:


If other, please specify:
III. Check the box or boxes next to the following program(s) that you are interested in. All of these programs are currently offered at the University Center-Rapid City.
Business:









Human Sciences:





Social Sciences:








Education:


General Studies:

IV. The following programs are not currently approved for delivery at the University Center-Rapid City, but are included to gauge the potential demand for them. Their inclusion does not guarantee that they can or will be delivered. Check the box next to the program or programs that would interest you if they were offered at the University Center-Rapid City.
What level of degree are you interested in?:


Agriculture:



Business:




Education:


Informational Technology:



Sciences/Health Care:







Social Sciences:



If other, please specify:
V. Your responses to this survey will be confidential and your personal information will be used solely to send you communications regarding the University Center-Rapid City. It will not be shared with any outside agency or third party.
May we contact you about University Center-Rapid City programs and information?: *
 
University Center-Rapid City is governed by the South Dakota Board of Regents and is an Equal Opportunity institution.
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4300 Cheyenne Blvd.
P.O. Box 250
Rapid City, SD 57709
605.718.4112
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