MSURSD Contact Information Survey Request

Minority-Serving and Under-Resourced Schools Division

We, in the Minority-Serving and Under-Resourced Schools Division (MSURSD) are continuously
seeking creative methods of updating our contacts so that we may provide you with the best
service and most current information available. Please help us in that effort by taking a few
moments to respond to this survey so that we may update our database. The data provided will be
used independently by the MSURSD team and will not feed into nor update any other federal
system. It continues to be our pleasure to be of service to you.
1. What is your six digit Federal School Code?

2. Please enter the name of your Institution.

3. Please provide the address information for your institution.
Mailing Street
Mailing City/Town
Mailing State/Province
Mailing ZIP/Postal Code
Website/URL

4. Please provide the contact information for the President/Chancellor.
Name
Title
Effective (Start) Date
Email Address
Phone Number

5. Please provide the contact information for the Chief Financial Officer.
Name
Title
Effective (Start) Date
Email Address
Phone Number

6. Please provide the contact information for the Financial Aid Director.
Name
Title
Effective (Start) Date
Email Address
Phone Number

7. Please provide the contact information for the Registrar.
Name
Title
Effective (Start) Date
Email Address
Phone Number

8. Please provide the contact information for the Director of Admissions.
Name
Title
Effective (Start Date)
Email Address
Phone Number

9. Please provide the contact information for the Institution's Financial Literacy representative.
Name
Title
Effective (Start) Date
Email Address
Phone Number

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such
collection displays a valid OMB control number. The valid OMB control number for this information collection 1845-0045. Public
reporting burden for this collection of information is estimated to average 10 minutes per response, including time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection
of information. The obligation to respond to this collection is voluntary. If you have comments or concerns regarding the status of you
individual submission of this survey, please contact the Minority Serving and Under Resourced Schools Division at 830 First Street NE,
Washington, DC 20202.