Name *

First Name

Last Name

Phone

(###)

###

####

Would you like to be added to the Onyx Valley mailing list? *

We will only email you to alert you about Onyx Valley news and special events.

Yes

No

Gender identity

Male

Female

Prefer not to say

Self-identify (See next question)

Ethnicity origin (or Race)

Check all that apply

African-American or Black

Asian or Pacific Islander

Caucasian or White

Hispanic or Latina/o

Native-American or American Indian

Prefer not to answer

Self-identify (See next question)

Which of the following best describes your academic standing or classification? *

High School graduate about to enter college

Freshman/ 1st year student

Sophomore/ 2nd year student

Junior/ 3rd year student

Senior/ 4th or 5th year student

Graduate or professional student

I am not currently a college student.

Other

How did you hear about the campus rep position? *

Check all that apply

Onyx Valley representative

Onyx Valley website

Social media

Job board (Indeed, Glassdoor, etc.)

Word of mouth

Search engine

Advertisement

Newspaper, magazine, or blog article

Other