Acha Institution Of Higher Education Demographic Survey Form
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5Institution of Higher Education Demographic Survey
Data from all participating institutions are aggregated for the comparative studies by various types of institutional characteristics.
For that purpose, please furnish the data requested below and return this form with your questionnaires. Because this form is used
to control the processing of questionnaires, survey responses cannot be returned until this information is complete. In no instance
will your institution be singled out for comparison with others in the aggregated analysis.
Section 1. Institutional Characteristics
1. I
N
NSTITUTION
AME
Please specify
2. S
P
URVEY
ERIOD
Fall or Spring
Year
3. S
E
TUDENT
NROLLMENT
Total Student Enrollment
If separate data are unavailable for undergraduates and
graduates, please provide composite data for both in the
Total Undergraduate Enrollment
undergraduate column and check here:
Total Graduate Enrollment
Total Non-Degree Seeking/Other
If your institution serves only undergraduates OR
Enrollment
graduates, complete the appropriate box and leave the
other blank.
Undergraduate
Graduate
% Female
% Female
% Male
% Male
% White, non-Hispanic
% White, non-Hispanic
% Black, non-Hispanic
% Black, non-Hispanic
% Hispanic or Latino
% Hispanic or Latino
% Asian or Pacific Islander
% Asian or Pacific Islander
% Native American or
% Native American or
Alaskan Native
Alaskan Native
% International
% International
% Other
% Other
4. A
C
H
A
A
MERICAN
OLLEGE
EALTH
SSOCIATION
FFILIATION
ACHA Institutional Member (Please specify Institution Member ID #: _____________________________)
Non-Member Institution
5. I
C
NSTITUTIONAL
ONTROL
Public
Private
6. R
A
ELIGIOUS
FFILIATION
Yes (Please specify: _______________________________________________________________________)
No
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