Top panel to be completed by instructor-advisor
STUDENT NAME AND ADDRESS:

DATE:

PROGRAM:

Dear

This is the survey I told you about last semester at HCC. Please fill it out and return it to me in the enclosed envelope. If you do it right now, you can have it filled out and in the return envelope in about two minutes.

HONOLULU COMMUNITY COLLEGE
GRADUATE FOLLOW-UP DATA FORM
YOUR NAME (IF DIFFERENT FROM SHOWN ABOVE):

YOUR ADDRESS (IF DIFFERENT FROM SHOWN ABOVE):



YOUR E-MAIL ADDRESS:

YOUR PHONE NUMBER:

DEGREE RECEIVED:
AA, AS, or AAS Certif None
DID YOU FINISH THE PROGRAM?
Yes No
DO YOU HAVE AN OCCUPATIONAL LICENSE?
Yes No Does not apply
ARE YOU ACTIVELY LOOKING FOR A JOB?
Yes No
CURRENT EMPLOYER (IF EMPLOYED):

TITLE OF YOUR POSITION (IF EMPLOYED):

EMPLOYED FULL TIME, OR PART TIME? (IF EMPLOYED)
Full time Part time
PAY RATE (IF EMPLOYED):
$__________ hourly, or $__________ salary
IS THE EMPLOYMENT CLOSELY RELATED TO YOUR TRAINING AT HCC? (IF EMPLOYED)
Yes No
HOW LONG HAVE YOU BEEN EMPLOYED WITH YOUR CURRENT EMPLOYER? (IF EMPLOYED)
______ months
MAY WE OFFER YOUR NAME TO POTENTIAL EMPLOYERS?
Yes No
WOULD YOU LIKE TO BE NOTIFIED OF JOB OPENINGS?
Yes No
ARE YOU PLANNING TO ATTEND A COLLEGE OR UNIVERSITY WITHIN THE NEXT YEAR?
Yes Currently attend No
IF "YES" OR "ATTEND," IS IT FULL TIME, OR PART TIME?
Full time Part time
IF "YES" OR "ATTEND," WHAT COLLEGE OR UNIVERSITY?

IF "YES" OR "ATTEND," WHAT FIELD OF STUDY?

HOW DO YOU RATE YOUR TRAINING AT HCC?
Good OK Neutral Weak Poor
WHAT PROGRAM IMPROVEMENT WOULD YOU RECOMMEND?

DID YOU MEET THE GOAL YOU HAD UPON ENTERING THE PROGRAM?
Yes No
ANYTHING ELSE?


Thank you for taking the time to complete this survey and for returning it to me.

PLEASE MAIL THE COMPLETED FORM TO THE INSTRUCTOR-ADVISOR SHOWN BELOW AT THE SCHOOL ADDRESS SHOWN AT THE RIGHT. Honolulu Community College
874 Dillingham Blvd.
Honolulu, HI 96817




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