School of Nursing Alumni Questionnaire
1. Personal & Professional Information
1
. Demographics:
Demographics:
Year of Graduation:
Name:
Maiden Name, if applicable:
Address:
City:
State:
Zip:
Country:
Preferred Phone (w/Area Code):
Primary Email:
2
. Current Status (please select one):
Current Status (please select one):
Employed (in nursing/health care)
Employed (not in nursing/health care)
Unemployed
Retired
3
. Current Position, or Last Position (if unemployed or retired):
Current Position, or Last Position (if unemployed or retired):
Position Title:
Organization:
City:
State:
Country:
4
. Have you completed any nursing/healthcare certification programs?
Have you completed any nursing/healthcare certification programs?
Yes
No
5
. If yes, how many?
If yes, how many?
6
. Have you completed or are you currently enrolled in a graduate degree program?
Have you completed or are you currently enrolled in a graduate degree program?
Yes
No
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