Qualtrics Survey | Qualtrics Experience Management

By completing and submitting the following Continuing Academic Progress and Success intake survey you are confirming your intent to participate in the CAPS program.

• Submission Information: Please be aware of the survey deadline mentioned in the instructions you received. If you have questions about the Continuing Academic Progress and Success program or need assistance in completing the survey, please email CAPS@ship.edu to reach a CAPS Coach.

I confirm my intent to fully participate in the CAPS Program for the entire semester?

Yes
No

Full Name

Student ID#

Preferred Phone with Area Code

Ship Email Address

College/School

Academic Major or Exploratory

Academic Advisor

Select any academic obstacles you had this past semester. You may select more than one.

Ineffective study skills
Ineffective time management skills
Unprepared for exams
What worked in high school doesn’t work anymore
Hard to concentrate/daydreaming
Difficult courses/not prepared for course level work
Unable to understand course content
Registered for too many courses
Did not attend/skipped class

Select any concerns you had regarding your major or career goal. You may select more than one.

Uncertain about current major
Changed major one or more times
Unsure what jobs are associated with major
No clear career goals
Not sure why I’m in school

Select any personal obstacles you had this past semester. You may select more than one.

Financial difficulties
Health problems
Use or abuse of alcohol or other substance(s)
Possible learning exceptionality
Difficulty sleeping at night
Pressure, stress, anxiety, or tension
Excessive time spent online (Facebook, YouTube, Gaming, etc.)
Lack of motivation
Working too many hours per week

Select any family or social obstacles you had this past semester. You may select more than one.

Roommate issues
Personal relationship issues
Family situation
Moved away from home/homesick
Difficulty adjusting to college life
Hard to make friends
Loneliness

Please list any campus resources, academic support, and/or services you used this past semester.

Class attendance is important for success in college. How often did you attend class last semester?

PERSONAL NARRATIVE
Using complete sentences, please reflect in writing on the major challenges that you have faced that affected your performance so far. Provide specific details as you share the story of what went wrong this past semester.

Next, again using complete sentences, reflect on the changes you plan to implement in the upcoming semester, including identifying the specific supports and services you will use and how they will help you to address the challenges from last semester.