Student Engagement Survey

This survey is designed to help us learn more about how you hope to be engaged as a student at Defiance College. Please take the time to answer all of these questions openly and honestly. Be sure to fully complete the Grit Scale at the end.
Thank you!

Please note when filling out this form:
Use the Tab Key to switch from question to question, or use your mouse. Hitting the Enter Key will submit the form.

Preferred Name   Preferred Gender
Mailing Address
City State Zip/Postal Code
E-mail   Twitter Username  
Cell Phone


Do you have any disabilities that may restrict your performance in classes, of which the college should be aware? (i.e. hearing impairments, dyslexia, etc.)


Major and Career Plans
What is your major?
(If still deciding, write “undecided.”)
How certain are you of your choice of an academic major (check one)?
Very Sure Fairly Sure Still Deciding No Major Yet


What do you want to do after you graduate with your degree from Defiance College? List more than one option if you have several ideas.

Have you thought about graduate school (especially if you are a pre-professional major)? If so, what type of graduate school and where would you like to attend?

What additional information would you like us to know about you?


Co-Curricular Activities


What co-curricular activities did you participate in during high school (clubs, teams, organizations, music, drama, etc.)?


In which co-curricular activities do you plan to participate at DC?
Academic Associations or Clubs Fraternities or Sororities Religious Activities  
BASA (Black Action Student Association) Intramural Sports Student Government  
Cheerleading Marching and/or Pep Band CAB (Campus Activities Board)  
Peer Leader/Mentor Theater Honors Program  
Community Service/Outreach Vocal/Choral Music The Defender (newspaper)  
 DC Ambassadors International or Domestic Travel Progeny (literary magazine)  
DC Pride  
Do you plan to be involved in Intercollegiate Sports? Yes No
If yes, in which Intercollegiate Activities do you plan to participate?
Baseball Golf Tennis
Basketball Soccer Track and Field
Cross-Country Softball Volleyball


Grit Scale

Directions: Here are a number of statements that may or may not apply to you. For the most accurate score, when responding, think of how you compare to most people -- not just the people you know well, but most people in the world. There are no right or wrong answers, so just answer honestly!

Life Skills Very much
like me
like me
like me
Not much
like me
Not like
me at all
1. I have overcome setbacks to conquer an important challenge.
2. New ideas and projects sometimes distract me from previous ones.
3. My interests change from year to year.
4. Setbacks don't discourage me.
5. I have been obsessed with a certain idea or project for a short time but later lost interest.
6. I am a hard worker.
7. I often set a goal but later choose to pursue a different one.
8. I have difficulty maintaining my focus on projects that take more than a few months to complete.
9. I finish whatever I begin.
10. I have achieved a goal that took years of work.
11. I become interested in new pursuits every few months.
12. I am diligent.