Part A : Graduate Contact Information:

* denotes required field.

Please check if you are a nursing major.

Your Current Mailing Address:

Secondary Contact Information: (Person who knows how to reach you.)

Part B: Continuing Education:

1. Within 12 months following graduation have you obtained or pursued (accepted or enrolled at an institution) another degree, diploma, or certificate? (Please check only one response.)

Please write the complete name of the institution and its location.

Part C: Employment Information:

In items 6-9, please provide the following information about your job. If you have held or accepted more than one job, please provide information on what you consider the most important job relevant to your major.





  • You were required to complete your program or major in order to qualify for this job;
  • You are / were using knowledge and skills on your job acquired through your program or major; or
  • Your job is / was an entry-level position required in order to obtain a job for which you were trained.
If you checked Unrelated, continue with items 10 and 12-15. Otherwise, continue with items 12-15.

Reasons why you might not be seeking a job include the following:

  • Occupational License or Certification Pending
  • Military / Volunteer / Religious Service
  • Completed Program for Personal Satisfaction
  • Cannot Relocate for Related Employment
  • Family / Home Responsibilities
  • Continuing Education
  • Took Unrelated Work by Choice
  • Medical Condition Preventing Work in Field of Study
Part D: Not Currently Employed
Answer Item 11 only if you checked "No" in response to Item 4 on the previous page.

11. Which of the following describes your status? (please check only one response.)
    Reasons why you might not be seeking employment include the following:
  • Occupational License or Certification Pending
  • Medical Condition Prevention Work
  • Completed Program for Personal Satisfaction
  • Cannot Relocate for Related Employment
  • Family / Home Responsibilities
  • Continuing Education
  • Incarcerated
  • International Student Returned to Homeland
Part E: Miscellaneous Information