Louisiana State University-SSS

First NameMiddle NameLast Name

mm-dd-yyyy

Street Address

Street Address Line 2

CityState

Postal / Zip Code

Our office understands that the language used in this survey may not accurately reflect members of the LGBTQ+ community. Unfortunately, these questions are required by the U. S. Department of Education. We also understand that these questions may be triggering for some individuals. There are campus resources available through the LGBTQ+ Project (lsu.edu/lgbtqproject/) and the Student Health Center (lsu.edu/shc/). There are also national hotlines that you may call including (thetrevorproject.org/).

She/herHe/himThey/themOther

YesNoI received a GED or high school equivalency

Name

Street Address Line 2

City/TownState

Did not complete high school or GEDGED/ High School EquivalencyHigh SchoolTechnical/ Vocational SchoolAssociate's DegreeBachelor's DegreeGraduate or Professional Degree (Master's, Ph.D., J.D., etc.)I did not live with this parent in high school

I am the studentI am the parent to the studentI am the guardian to the student

First time freshman—graduate from high school in May 2024First Time Freshman-- graduated from high school prior to 2023, but have not attended college anywhereI am a transfer student and this will be my first semester at LSUI am an upper-class LSU student (Sophomore or above)

Freshmen (29 hours or less)Sophomore (30 to 59 hours)Junior (60 to 91 hours)Senior (92 or more hours)

YesNoI am not receiving financial aid

In accordance, with the U.S. ESIGN Act, you may withdraw your consent to receive electronic documents, notices or disclosures at any time. In order to withdraw consent, you must notify the sending party that you wish to withdraw consent and request that your future documents, notices, and disclosures be provided in paper format. To request paper copies of documents; withdraw consent to conduct business electronically and receive documents, notices or disclosures electronically; or withdraw consent to sign document electronically, please contact the sending party at sss@lsu.edu.