Employed in program-related area
Employed in field not related to program
In education/training in another
        program or institution
Passed licensure/certification exam

Job enhanced after degree obtained
Unemployed & actively seeking job
Unemployed & not seeking a job
Military

Are you working:      Full Time       Part Time

If you are continuing your education at another college/institution,
please list the name(s) of the institution(s):
1.
2.

Are you planning to pursue further education/training in the future Yes    No
If Yes, please mark the type of institution you plan to attend:

2- Year Technical
Community College
Four-Year College
Other

Please rate the program you completed in terms of its direct benefit to your career plans:
Highly Satisfied   Satisfied  Dissatisfied   Highly Dissatisfied

Please rate the extent to which the programs and training received were useful in
performing your job:
Highly Satisfied   Satisfied  Dissatisfied   Highly Dissatisfied

Please rate how well the courses you completed have prepared you for continuing your education:
Highly Satisfied   Satisfied  Dissatisfied   Highly Dissatisfied

If you are employed, please complete the following information
and indicate your yearly salary range:

Job Title:   
Employer:

City: State:  Zip:

Salary: Up to $5.28/hr (Up to $10,999/yr) $5.29-7.70/hr ($11,000-15,999/yr $7.71-10.10/hr ($16,000-20,999/yr $10.11-12.50/hr ($21,000-25,999/yr $12.51-14.90/hr ($26,000-30,999/yr) $14.91-17.30/hr ($31,000-35,999/yr) $17.31-19.71/hr ($36,000-40,999/yr) $19.72-22.11/hr ($41,000-45,999/yr) $22.12-24.52/hr ($46,000-50,999/yr) $24.53-26.92/hr ($51,000-55,999/yr) Other