Student Follow-Up Questionnaire
Name: 
Address: 
City: 
State: Zip:
Phone: Fax: 
E-mail:
Today's Date
From which campus did you graduate? Columbus Grand Island Hastings
1.  Area of Study: Degree Diploma Certificate
2.  Will you be continuing your education within the next 6 months? Yes      No
     Where:  When: 
3.  What is your current employment status?
        Full-time    Part-Time    Unemployed/Seeking Employment
        Not Available  - Reason: 
4.  How does your present employment relate to your major program of study?
        Related      Not Related       Somewhat Related
5.  EMPLOYER INFORMATION
     Job Title
     Name of Supervisor
     Name of Employer
     Address of Company
     City, State, Zip
6.  How long have you held this position?
7.  Present wage before deductions (information kept in strictest confidence and used only to identify starting wage ranges.)

      $Hour,  or    $Week,  or    $Month
8.  Did your major program of study help you in your occupational area in any of the following ways

Helped to obtain a job        Helped advancement on your present job      Other
Any Other Comments:

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