| Faculty/instructors | 1 | 2 | 3 | 4 | 5 |
| Academic advisor | 1 | 2 | 3 | 4 | 5 |
| Coach/club advisor | 1 | 2 | 3 | 4 | 5 |
| Any other college representative, such as a mentor or other staff; please specify role (not person’s name):_________ | 1 | 2 | 3 | 4 | 5 |
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