Name:
                    Please indicate both your married and maiden names, if applicable

Address:

City: State: Zip:

Home Phone:         E-mail:

Major:         Minor:

Second Major:         Second Minor:

Sex: Male Female                Teaching Certificate? Yes No

Do Not provide my contact information to the Alumni Office

I. Employment Information Check all that describe your current employment situation

    Full-Time      Part-Time      Temporary      Still Seeking      Not Seeking

Name of Employer/Address:

Employer City, State, & Zip:

Select the employment industry that best describes your field.
         Education
         Manufacturing
         Health Care
         Business Services
         Social Service
         Govt. Position
         Other:

Job Title:

Work Phone:         Work E-mail:

Gross Salary (Estimated Annual Salary Before Taxes):

Please rate the degree to which your salary meets your expectations on a scale of 1-5.
(1=Not at All, 5=Exactly)  1 2 3 4 5

Do Not provide my employer name, job title, employer location, work phone, or work e-mail to the Alumni Office

II. Graduate School Information
Please complete if attending graduate school full or part-time as of Septemeber 2007. Include professional certifications

Name of Institution/Location:

(City, State, Zip)

Field of Study:

Degree Sought (Select One):
         MA   MS   PhD   EdD   MD   DO   JD   MFA   MSW
         Other:

Please Select One: Full-Time Part-Time

Start Date:         Anticipated Grad. Date:

III. Practical Experience Information
Listed below are the 10 types of practical experience that Lycoming students can obtain throughout their college career. Please review the list and then note any practical learning experiences in which you participated while at Lycoming or during the summers between semesters. Incluse the name of the site at which you did the experience, a title describing your main function, and the type of learning experience that best describes the experience.

Internship   Practicum   Independent Study   Honors Project   Study Abroad (Including May Travel)   Student Teaching   Related Employment   Related Service   SHARE (Professional Shadowing)

IV. General Information

If you used the services of the Career Development Center, please rate your satisfaction. (1 = Completely Dissatisfied, 10 = Completely Satisfied)  1 2 3 4 5 6 7 8 9 10

What more could the CDC have done to enhance your satisfaction? Please be specific

Rate how well your Lycoming College education prepared you for employment or graduate school. (1 = Completely Unprepared, 10 = Completely Prepared)  1 2 3 4 5 6 7 8 9 10

Please provide a specific reasoning for your rating.

How would you rate your overall Lycoming experience? (1 = Completely Dissatisfied, 10 = Completely Satisfied)  1 2 3 4 5 6 7 8 9 10

Please provide specific example(s) or a reason for your rating

If you have career questions and would like to be contacted by Ms. Laurie Garris,
please check here

When survey results are published, indentifying information is not included