Dear Graduate from the Practical Nurse Program January 2010

WE NEED YOUR HELP!
Your response to the following questions is requested to evaluate our program here at Southeastern Technical Institute and statewide. The information will be used only in summary form, not on an individual graduate basis. Your cooperation is needed so we can use the results to make LPN programs better.

1. Please complete the following sections.

Please complete the following sections. Name:
Address:
City/Town:
State:
ZIP/Postal Code:
Email Address:
Phone Number:

2. What is your current educational status?(Check One)

What is your current educational status?(Check One) Currently attending school

Not currently attending school

I have already attained another degree

3. If you are currently attending school, please answer the following questions.

If you are currently attending school, please answer the following questions. Name of School
What degree/certification are you currently seeking?
Is this an advanced placement program for LPN's?

4. If you have already attained another degree, please answer the following questions.

If you have already attained another degree, please answer the following questions. New title
School Attended

5. What is your current employment status?

What is your current employment status? Employed (include all employment, even if below your qualifications)

Full-time military service

Unemployed (Not employed but seeking employment)

Not in labor force (not employed and not seeking employment because of choice, illness, student status, retirement, pregnancy, or other such reason.

6. Do you subscribe to any nursing publications?

Do you subscribe to any nursing publications? Yes

No

Please list

7. Do you belong to any professional organizations?

Do you belong to any professional organizations? Yes

No

Please list

8. Please provide the following information on your present job. Your employer will not be contacted for information about your job without your permission. We want to know what kind of facilities hire our graduates.

Please provide the following information on your present job. Your employer will not be contacted for information about your job without your permission. We want to know what kind of facilities hire our graduates. Employer:
Address:
City/Town:
State:
ZIP/Postal Code:
Phone Number:

9. May we contact your employer for additional feedback?

May we contact your employer for additional feedback? Yes

No

10. Present job information:

Present job information: Job Title
Job Duties

11. Is this job related to your Practical Nursing training?

Is this job related to your Practical Nursing training? Yes, it is directly or closely related.

No, it is only remotely related or not related at all.

12. What is your current hourly salary?

What is your current hourly salary? Differential

13. The salary in the preceding item is based on how many hours per week employment?

The salary in the preceding item is based on how many hours per week employment? hours per week
weeks per year

14. Are you eligible for benefits?

Are you eligible for benefits? Yes

No

15. Did your Southeastern education prepare you for your job?

Did your Southeastern education prepare you for your job? Yes

No

Please elaborate:

16. Recommendations for program revisions.

Recommendations for program revisions.

THANK YOU FOR YOUR COOPERATION WITH THIS SURVEY!
Email:mpepin@sersd.org Keep in touch!!

Practical Nurse Graduate Survey