| Name: |
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| Maiden Name: |
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| Phone number: |
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| E-mail: |
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| Year of Graduation: |
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| I am employed: |
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if other: |
| Employer: |
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| City/State: |
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| Title/Position: |
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| Employed in your field of study: |
Yes No |
| What level of satisfaction do you have with your current job? |
Very satisfied
Somewhat satisfied
Not satisfied |
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| How did you hear about this job opportunity? |
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| Salary level (optional): |
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| If pursuing advanced degree: |
| Institution: |
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| Major/field of study: |
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| Status: |
Full Time Part Time |
| While at Geneva did you: |
| Meet with a Career Counselor |
| Utilize the resources of the Career Development Center |
Attend any Career Development Programs
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| Have an internship(s): |
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| Yes |
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| No |
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| If yes, what: |
| I would be willing to: |
| Connect with fellow alumni |
| Help organize a regional alumni meeting |
| Provide vocation advice/opportunities to current students and recent graduates |
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| Comments: |
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