Name of Institution                 Program Director's name

Email address                         Telephone number

Institution and Program Demographics:

NCAA/NAIA Division         NATA District  1 2 3 4 5 6 7 8 9 10

Approximate Student body enrollment (round to closest 100)    

Approximate average tuition (round to closest $1000)

Private or State

By entering the information above you understand that your participation in this study is voluntary and that no one other then yourself will have access to your information with one exception; demographic information about your institution will be used for the Self-Selection Ranking comparison.  There are no foreseeable risks or discomforts to participation.  Questions about this research may be made directly to the researcher, David Carr, 918-631-2678, david-carr@utulsa.eduor to the Office of Research and Sponsored Programs, Debbie Newton, 918-631-2192, debbie-newton@utulsa.edu.  To participate, you must be18 years of age or older.

I hereby agree to participate in the above-described research.  I understand that my participation in voluntary and that I may withdraw at any time without penalty or prejudice.

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