Qualtrics Survey | Qualtrics Experience Management

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1. First Name

2. Last Name

3. Email Address

4. School

Undergraduate School of Arts and Sciences
Undergraduate School of Arts and Sciences/SMFA
Graduate School of Arts and Sciences
Graduate School of Arts and Sciences/SMFA
Undergraduate School of Engineering
Graduate School of Engineering
The Fletcher School
Graduate School of Biomedical Sciences
Friedman School of Nutrition Science and Policy
Cummings School of Veterinary Medicine
School of Dental Medicine
School of Medicine

5. Major/Program of Study

6. Anticipated Year of Graduation

7. Are you an undergraduate, graduate, professional student, or other?

Undergraduate Student
Graduate Student
Professional Student
Other

8. Are you involved in any of the programs below? Please check all that apply.

Summer Scholars
Laidlaw Scholars
Provost Fellows
VERSE (Visiting and Early Research Scholars' Experiences)
Other
N/A

9. Reflection Paragraph – Please write a short paragraph to provide additional context for your video; highlight your background and reasons for choosing your specific pathway at Tufts. The review panel will focus on how well your video articulates your academic and extracurricular pursuits, including how you have been able to craft your Tufts' experience around your passions and interests.

10. Video Submission: Please upload your MP4 file.

You need to upload a .mp4 file. Have a .mov file? Use this website to convert your .mov to a .mp4: https://www.freeconvert.com/mov-to-mp4/

11. We may use submitted videos on Tufts' websites, social media channels, and other forms of digital marketing/advertising. Please indicate whether you give permission below. Keep in mind that winning videos will be shared on the Provost's Office website.

Yes, I give permission for my video, or a portion of my video, to be used in the future on any Tufts digital platforms.
No, I do not give my permission for any portion of my video to be used on Tufts' digital platforms.