Survey Non-Participant Form

Student Survey Non-Participant Form


In order to ensure participation rates are calculated correctly, please provide the following information for any student who was enrolled based on the Fall WDE684 and did NOT participate in the student climate survey. If ALL students who were enrolled on or before October 1, 2019 participated in the climate survey, do not complete this form. This form must be submitted by November 27, 2019. If you have questions, please contact Susan Williams at

Student Information

Please fill in the information for every student that did not participate. Click "add" to input information for additional students who did not complete the student climate survey.