Center for Global Engagement & Buffet Center at Northwestern University
Northwestern's GESI Program Interest Survey 2012
Thank you for your interest in the 2012 Northwestern University Global Engagement Studies Institute.
This short survey is designed to help GESI staff better understand student interest and priorities, as well as allow us to provide interested students with important updates.
None of your answers will affect your application status when/if you submit a full application.
I. PERSONAL INFORMATION
Name
*
First
Last
College or University
*
Email
*
Phone Number
*
###
-
###
-
####
Major
*
Second Major (if applicable)
Minor (if applicable)
Would you like to be added to our mailing list to receive important GESI updates and newsletters
*
Yes
No
II. DEVELOPMENT SECTOR INTEREST
Please indicate your top three areas of interest:
*
Microcredit
Economic/livelihoods development
Education and Youth
Environmental Issues
Global Health
HIV/AIDS
Social Entrepreneurship
Women's Empowerment
Do you have any other areas of interest that we didn't list? Please write them below.
III. REGIONAL INTEREST
What country are you interested in? Check all that apply
*
Uganda
India
Bolivia
Nicaragua
South Africa
Dominican Republic (NEW site!)
What would be your dream location to do GESI? (list up to two countries that aren't currently offered)
*
Given the choice, which environment would you prefer for your GESI placement?
*
Rural
Urban
No preference
IV. OTHER
How did you hear about GESI?
*
GESI Alumni (please specify the individual(s) in the box below)
School Study Abroad Office
Info Session
Email Flyer (specify the group/department that sent the flyer in the box below)
Web Search
Google Ad
Facebook Ad
College Advisor or Professor (please specify the individual(s) in the box below)
Career Services
Fair (study abroad fair, internship fair, etc.)
Student group (please specify in box below)
Other (please specify in the box below)
Would you be interested in a phone call from GESI staff or alumni?
*
Yes
No
What would be the barriers to your participation in GESI? Check all that apply.
*
Financial need
I won't get enough credit
I might get a paid internship in the summer
I don't really know what I will do next summer -- I'm just browsing
Other (please specify in the box below)
Are you considering any other study abroad programs? Check all that apply.
*
Yes, I am considering other summer study abroad programs (please list program name(s) in the box below)
Yes, I am considering semester study abroad programs during the regular academic year (please list program name(s) in the box below)
No, I am only considering GESI
Thank you for your interest in GESI! We look forward to getting to know you better.
Do Not Fill This Out