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Alumni Survey
Contact Information
Name
First Name
Last Name
Email
Verify Email
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Maiden Name (if applicable)
Date of Birth
(mm/dd/yyyy)
Primary Email
Verify Email
Primary Phone
Which of the following best describes your employment status
select one
Unemployed-Seeking Employment
Unemployed-Not Seeking Employment
Part-Time
Full-Time
Self-Employed
Retired
Is your current or most recent employment closely related to your field of undergraduate study?
select one
Yes
No
How would you describe your job level?
select one
Employee
Supervisor
Management
Middle Management
Executive Management
What field most closely reflects your current or most recent employment?
select one
Architecture and Engineering Occupations
Arts, Design, Entertainment, Sports, and Media Occupations
Building and Grounds Cleaning and Maintenance Occupations
Business and Financial Operations Occupations
Community and Social Service Occupations
Computer and Mathematical Occupations
Construction and Extraction Occupations
Education, Training, and Library Occupations
Farming, Fishing, and Forestry Occupations
Food Preparation and Serving Related Occupations
Healthcare Practitioners and Technical Occupations
Healthcare Support Occupations
Installation, Maintenance, and Repair Occupations
Legal Occupations
Life, Physical, and Social Science Occupations
Management Occupations
Office and Administrative Support Occupations
Personal Care and Service Occupations
Production Occupations
Protective Service Occupations
Sales and Related Occupations
Transportation and Materials Moving Occupations
What employment sector do you primarily work in?
select one
For-profit
Non-profit
Public Service
Name of Employer
What is your job title?
What city do you currently work in?
What state do you currently work in?
Approximately what is your individual yearly gross salary (i.e. salary before taxes and deductions)?
How much debt do you currently have?
select one
No debt
$1-5,000
$5,001-15,000
$15,001-30,000
$30,001-65,000
$65,001-$90,000
$90,001+
How much of your debt is student loans?
select one
No student loans
1-25% of total loans
26-50% of total loans
51-75% of total loans
76-100% of total loans
Are you currently enrolled in or have you graduated from an additional degree or credential program?
select one
Yes
No
Degree Type
select one
MA. MS. MFA, MBA
JD
MD, DVM, DDS
PhD
Post-baccalaureate degree field
Post-baccalaureate college or university name
Date degree received or expected date degree received
(mm/dd/yyyy)
What is your highest education level achieved?
select one
AA, AAS
BA, BS, BA/BS
MA, MFA, MBA, MS
PhD
JD
MD, DVM, DDS
What describes your current housing situation?
select one
Rent
Own
Other
Do you own a home (whether it is your current residence or not)?
select one
Yes
No
No, but used to
No, but planning to
What kinds of activities would be most valuable to you from the Palmer Scholars Alumni Network
Networking
Family-Friendly Events
Brown Bag Educational Workshops
Career Advising
Other, please explain below
What other activities would be most valuable to you from the Palmer Scholars Alumni Network
What kinds of activities would you be interested in getting involved in with Palmer Scholars
Reading and scoring Scholar applications
Becoming a mentor
Donating
Providing a dinner for our Scholars' Post-Secondary Readiness Training
Sponsoring a table at Stand Up & Cheer
Facilitate a workshop or training
Other, please explain below
In what other ways would you be interested in getting involved with Palmer Scholars?
Is there anything else you'd like Palmer Scholars to know?
