Graduation Date (Semester/Year):________________

Name:  _______________________________________________  Gender:   M   F

Address (After Graduation): __________________________________________________

City:  ______________________________ ST: ______ Zip: ________________________

Phone:  (_____) ___________________ Email: __________________________________

Degree:     Bachelor’s             Master’s                Ed.S.            Ph.D.

Major: ___________________________________________________________________

Which of the following best describes your employment status at this time?

Currently employed, but still seeking employment.

Currently employed, no longer seeking employment.

Serving in the military.

Not employed, attending graduate school full time.

Not employed, seeking employment.

Not employed and not seeking employment at this time.

If you are currently employed in your major area, please provide the following information (this information is reported in anonymous, statistical form only):

Job Title: _________________________________________________________________

Company: ________________________________________________________________

Location (City/State): _______________________________________________________

Current annual or projected salary:  ____________________________________________

How did you learn about this job? (Check all that apply)

Career Fair (Career Week, NACPED, or Teacher Education Day)

Career Development Services referral

On-campus Interview

Previously employed with this company

Other (Please specify): __________________________________________________

Do you have a current file in Career Development Services?  Yes             No