Exploration of UndocuScholars Pathways to Higher Education 

Description 

United Way of Salt Lake is doing a small-scale community-based study to understand the adequacy of the system that provides resources for undocumented students. You have been asked to participate in this study because you have important experiences and knowledge that can inform the bigger conversation. What we learn from this interview will be used to support undocumented students in learning more about and discovering ways to address challenges in finding proper resources they can use be able to continue their education.

Please fill out the form below to express interest in participating in this Interview, which would be conducted virtually over Zoom. Filling out this form does not guarantee you will be selected to participate. If you are selected, your participation is voluntary, and while participating, you can choose to be identified or maintain anonymity. If you are selected to participate, you will receive a $25 electronic gift card after successfully participating in the Interview. 

If you have any questions or concerns about this Interview, you can contact Salvador Oregon-Torres at (385) 306-3111 or email salvador.oregon-torres@uw.org.  

First Name:*
Last Name:*
Email:*
Phone:*
Zip Code:*
Language Preference:*	--None--Spanish English Achinese (Aceh) Acoli Afrikaans Albanian American Sign Language Amharic Arabic Assyrian Neo-Aramaic Basque Bosnian Burmese Cambodian (Khmer) Cantonese Chinese Chinese (Other Than Cantonese Or Mandarin) Chuukese (Trukese) Creole English-Based (Other Than Tok Pisin) Croatian Dari (Eastern Farsi) Dinka Eskimo-Aleut Fijian Filipino (Pilipino) French German Hindi Igbo (Ibo) Italian Japanese Kannada Karen (Karenni, Kayah) Kinyarwanda Korean Kosraean Krahn Kunama Kurdish Lao Maay (Maimai, Rahanween) Malay Mandarin Marshallese Mongolian Mushungulu/Zigua Navajo Nepali Nuer Persian (Farsi) Portuguese Pushto (Pashto) Romanian Rundi (Kirundi, Urundi) Russian Samoan Sango Serbian Shoshone Somali Swahili Swedish Tagalog Tamil Thai Tibetan Tigrigna/Tigrinya Tongan Turkish Uduk (Twampa) Urdu Vietnamese
Enrollment Status:*	--None--Student Parent/Caregiver of Student Neither
Level of Enrollment:*	Elementary School Middle School High School Postsecondary N/A Elementary School Middle School High School Postsecondary N/A
Race:*	--None--Hispanic, Latino, or Spanish White Black or African American Asian American Indian or Alaska Native Middle Eastern or North African Native Hawaiian or Other Pacific Islander Some other race or Ethnicity
Gender:*	--None--Male Female Other Non-Binary Prefer Not To Say
Pronouns:	she/her he/him they/them other

This Interview would be conducted over video call, likely Zoom. Would you have access to the internet and an electronic device to participate in a video call?*  (Select) 

Yes, I do have access to the internet and an electronic device to do a video call No, I do not have access to the internet or a device to do a video call.

Do you want to be compensated for your participation? Compensation will be provided in the form of an electronic gift card after participating.*
Yes, I would like to accept compensation for my participation. No, I will decline compensation and will not be compensated for my participation

Future Involvement

I agree to be contacted about other community-based opportunities in the future*

Consent to Participate in the Project

I agree to participate in this Interview according to the terms and conditions of the study.*