Undergraduate Graduation Survey

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Commencement

Commencement Committee

Before requesting your cap and gown, please complete the survey below.

The information gathered in this survey is helpful to understand your post graduate status and is used for Federal reporting requirements.

Personal Information
Prefix
First Name *
Last Name *
Suffix
Class Year *
Banner ID
Nickname
Maiden Name
Major at Utica College
Post-Graduation Contact Information
Address *
City *
State *
Zip Code *
Home Phone Number
Cell Phone Number
E-mail Address
Employment/Graduate School Information
What best describes your future post graduation status? * (Please check all that apply)	Will be employed full time Will be employed part time Will be enrolled in school full time Will be enrolled in school part time Not employed, still seeking employment Not employed, not seeking employment
Employment Information
Employer *
Title *
Start Date
Business Address
City
State
Zip Code
Position Description
Matching Gift Company	Yes No
E-mail Address
Salary Information	Under $20,000 $20,000-$30,000 $30,000-$40,000 $40,000-$50,000 $50,000+
Did you utilize any of the following to search for and secure your position? (Please check all that apply)
	Career Services Faculty/Staff Contact Alumni Contact Other
Graduate/Law/Professional/Other School Information
Institution Name *
Field of Study *
Degree Pursuing *
Address
City
State
Zip Code
Did you utilize any of the following to apply for and obtain admission to graduate school? (Please check all that apply)
	Career Services Faculty/Staff Contact Alumni Contact Other
Family Information
Marital Status	Single Separated Married Widowed Divorced Partner
Partner's Name
UC Class Year
Occupation
Company Name

Children

Name

Birthdate

Sex

School

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