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Graduate Survey
Program of Study
*
Last four of Social Security Number
*
Name
*
First
Last
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Email
*
12. Which one best describes your present status?
*
Employed, training related
Employed, but not training related
Continuing Education
Military, full time
Unemployed, seeking training-related employment
Unavailable for employment
If unavailable for employment, please explain.
If you are currently employed
Name of Employer/Firm
*
Employer Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Your Job Title
*
Hourly Salary
*
How many hours do you work?
*
Full-time (35 hrs or more/week)
Part-time (Less than 35 hrs/week)
If part-time, was that your preference?
*
Yes
No
In your opinion, are you employed in an occupation related to your training program at NIACC?
*
Yes
No
Duties
*
Are you satisfied with the job you have?
*
Yes
No
Please comment
If you are not currently employed, or marked "no" to the question above
Have you been employed in an occupation related to your training program since leaving NIACC?
*
Yes
No
*If you answered yes to the previous question, please complete the following information:
Name of Employer/Firm
*
Employer Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Your Job Title
*
Hourly Salary
*
How many hours do you work?
*
Full-time (35 hrs or more/week)
Part-time (Less than 35 hrs/week)
If part-time, was that your preference?
*
Yes
No
In your opinion, are you employed in an occupation related to your training program at NIACC?
*
Yes
No
Duties
*
Were you satisfied?
*
Yes
No
Please comment
If you are currently continuing your education, please complete this section
Name of School
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Major and degree being sought
*
What is your enrollment status?
*
Part-time
Full-time
If you are not currently continuing your education
Do you intend to continue your education in the future through workshops, seminars, on/or by earning advanced degrees?
Yes
No
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