TECHNICAL-OCCUPATIONAL PROGRAM
GRADUATE FOLLOW-UP DATA FORM
Adapted from a survey created by Tom Mikulski
Electrical Installation and Maintenance Technology, Honolulu Community College. August 30, 1999.

The primary purpose of this survey is to obtain information from students after they graduate that can help in evaluating and guiding the college program that they were enrolled in as students. It is suggested that the survey be sent about six months after students graduate. By that time they will probably have found program-related employment if they have sought it, or they will have found other employment, enrolled as students somewhere else, or laid other plans for the future. Efforts should be made by the instructor to:
  1. Talk to students about the survey (its importance, its benefits for them, and how it will work) before they graduate,
  2. Encourage graduates to respond quickly, which results in the greatest likelihood that they will respond at all,
  3. Enclose stamped and addressed return envelopes with the surveys,
  4. Follow up on those who have not responded within a reasonable period of time (by phone or by sending another survey form), and
  5. Follow though with referrals and contacts about job openings to maximize and demonstrate the value of the survey to those graduates who participate.

Related Items:
A copy-and-use version of this form that should (most printers) print on one sheet.
A graduate data tally sheet. Some data compared to baseline data collected earlier.


Top panel to be completed by instructor-advisor
STUDENT NAME AND ADDRESS:
John Doe
000 Main Street #140
Honolulu, HI 00000
DATE:
December 10, 1999
PROGRAM:
EIMT

Dear John

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 EIMT 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 IMPROVEMENT WOULD YOU RECOMMEND FOR THE PROGRAM?

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
Instructor's Name

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