1. Roane State Community College Respiratory Therapy Program -Number 200263

The Committee on Accreditation for Respiratory Care requires that programs conduct an employer survey as part of its assessment of program outcomes. The purpose of this survey is to help faculty evaluate the Program's success in preparing graduates to function as competent respiratory therapists. Compiled data from all returned surveys will be used to evaluate program quality; data from individual surveys will be held in strict confidence. We request that this survey be completed by the graduate's immediate supervisor if possible.

Thank you for your time. Please do not hesitate to call program faculty with any questions at 865-539-6904.

* 1. Name of Graduate:

* 2. Length of employment at time of evaluation:

* 3. Name of person completing the survey:

* 4. Title:

* 5. Are you the graduate's immediate supervisor?

* 6. Date: