BHSU Exit Survey

If you intend to stop attending the university this semester or a future semester, please complete our brief survey below. Your responses will assist us in further advising you in this process. Thank you, and we wish you well on your future plans.

First Name:

Last Name:

Email:

Student ID:

Today's Date:

Select Date

Permanent Address:

City:

State:

Postal Code:

Telephone:

What is your major?:

Adviser Name:

Adviser Email:

1. I am:
transferring to another university/school.
stopping out of college to pursue other interests or priorities.
sitting out for a semester (or more).

2. Please note the specific reason(s) for your departure- transfer/stop out/etc. -from BHSU at this time:

3. Effective start date of transfer or stopout:

Select Date

4. If transferring, please indicate your new university:
Dakota State University
Northern State University
South Dakota School of Mines and Technology
South Dakota State University
University of South Dakota
Other
Not Transferring

5. With whom did you consult the most regarding the transfer/stop out decision?:
Faculty
Staff
Student
Parent
Other
I didn't consult with anyone.

6. If returning to attend BHSU in the future, indicate which semester and year:

7. On a scale of 1 to 10, how sure are you that you are making the right decision to stop attending the university at this time? (10 - most sure, 1 - least sure):

12345678910

Please explain the rating you chose for question 7:

8. Do you feel in need of additional information to help make this decision?:

9. Please check the student services you have used during your time at BHSU:
Career Services
Writing Center
Trio
Tutoring
Veteran's Affairs
Financial Aid Counselor
Disability Services
Other

10. Where did you utilize these services?:

11. Is there anything BHSU could have done, or could do in the future, to ensure your continued enrollment and success?:

12. Please describe your overall experience at BHSU (academically, outside of the classroom, etc):

13. Please give any additional comments regarding your departure:

Important Reminders:

Advisor will contact student by phone to verify cancellation and provide information about re-admission* or transfer.
Adviser will notify Admissions and Registrar of cancellation.
If living on-campus, the student must cancel campus residence and meal plan.
If transferring, the student must see the Registrar to request that official transcripts be sent to new school.
If receiving financial aid, the student's BHSU financial aid will be canceled.
All classes will be canceled unless the student is transferring to another SDBOR school.

*For students planning to return to BHSU in the future, advisor will present them with the Returning Student Checklist and ensure that they understand the procedures for re-enrolling, as well as the contact information should they need future guidance.