Student I.D. Number:
(Click here to choose) Dec 2007 May 2008 July 2008
Earning an associate degree, diploma, or certificate Preparing for/getting a new job Improving existing job skills Transferring to a four-year college/university Personal interest Other (Please explain.)
Yes, completely Yes, partially No (please explain)
Job conflict New employment Financial hardship Family circumstances Joined the military Childcare problems Medical problems Moved to a new area Lack of interest in pursuing course of study Dissatisfied with the services offered by the college Dissatisfied with the quality of instruction Other (Please explain.)
Very satisfied Satisfied Dissatisfied Very dissatisfied Don't know How would you rate your experience with the quality of instruction in your major courses? How would you rate your experience with the quality of instruction in your other courses? How would you rate your experience with the overall quality of your academic program? How would you rate your experience with the quality of academic advising? How would you rate your experience with the quality of the Learning Center? How would you rate your experience with the quality of registration? How would you rate your experience with the quality of admissions? How would you rate your experience with the quality of student activities? How would you rate your experience with the quality of campus security? How would you rate your experience with the quality of career counseling? How would you rate your experience with the quality of the Employment Assistance Center? How would you rate your experience with the quality of Tutoring Services? How would you rate your experience with the quality of Library Services? How would you rate your experience with the quality of student counseling? How would you rate your experience with the quality of facilities? How would you rate your experience with the overall quality of the college?
Yes No Not sure
Employed full-time in a curriculum-related field Employed part-time in a curriculum-related field Employed full-time but not in a curriculum-related field Employed part-time but not in a curriculum-related field Military service Student only and plan to transfer to (what institution) Retired Unemployed (If unemployed, please answer next question.)
Actively seeking employment Not seeking employment
Directly related Closely related Somewhat related Not related
Less than $10,000 $11,000 - $15,000 $16,000 - $20,000 $21,000 - $25,000 $26,000 - $30,000 $31,000 - $35,000 $36,000 - $50,000 Over $50,000
Employer Address City, State, zip