Chinese American Student Association – A Family Away from Home

Family Survey

You are here: Home » Membership » Family Survey

Ready to find out which one of our four families you’ll be a part of? Fill out the form below and we’ll get back to you as soon as we can!

Your Name

Your Email

Phone Number

Gender

Major/Minor

Hometown

Age

Year

Do you have a car?

About Yourself

Please answer truthfully to get matched well!

On average, how many hours do you study per week?

What are some of your interests/hobbies?

Rank the following from 1-10 (1=favorite) in terms of what you would prefer to be doing in your free time (think of a typical Friday night):
Studying:
Partying/Drinking:
Going out to eat:
Working Out:
Watching Movies:
Shopping:
Sleeping:
Playing Sports:
Exploring LA:
Video Games:

Please Indicate if you are interested in participating in:

Intramural Sports with CASA

CASA Culture Show 2012: SHANGHAI

If you're interested in participating in SHANGHAI, please check which aspects you are interested in (No Experience Needed):
 Performing: Acting/Singing Publicity & Marketing Fundraising Film Costume & Makeup Props Backstage Crew Set Design & Construction Lighting & Sound Design

** If you’d like to request placement in a certain family or with
another member, write their name(s) here! If there is anything
else you feel we should know, feel free to write it down here too!