Name
Student ID
Major

Address
City
State
ZIP
Phone Number
Email Address

Indicate who is responding to this survey:
Graduate
Spouse/Roommate
Parent/Family Member
School Staff
Employer Verification

Do you plan to continue your education?
Yes
No
If Yes, Where
Address
Date Accepted
To obtain:
Diploma
A.S.
A.A.
A.A.S.
Bachelor's

Have you started, accepted, or continued employment (including self-employment, Peace Corp, military, or religious mission) since graduation?
Yes
No
If Yes, Indicate in which group you prefer to be included.
Work
Education
Not Applicable

If presently employed:
Employer/Firm Name
City
State
Zip
Wages/hr
Hire Date
Job Title or Duties
Full-Time
Part-Time

Related to Training
Somewhat Related to Training
Unrelated To Training

When did you start looking for a job? (Includes interviewing, submitting resumes, etc.)
Before my last year
Two semesters before graduation
One semester before graduation
Immediately after graduation
Remained at previous employer

If unemployed or your job is NOT related to training, are you seeking a job related to your program?
Yes
No
Not Applicable

If not employed, are you
Actively seeking employment
Not actively seeking employment?