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Identification
and Contact Information:
Semester
In Which You Will Graduate:
Pull Down
2008 Spring
2008 Summer
2008 Fall
2009 Spring
2009 Summer
2009 Fall
Name,
Last:
Name,
First:
Name,
Middle:
Current
Address Line 1:
Current
Address Line 2:
City:
State:
Alabama (AL)
Alaska (AK)
Arizona (AZ)
Arkansas (AR)
California (CA)
Colorado (CO)
Connecticutt (CT)
Delaware (DE)
District of Columbia (DC)
Florida (FL)
Georgia (GA)
Hawaii (HI)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Iowa (IA)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Maine (ME)
Maryland (MD)
Massachusetts (MA)
Michigan (MI)
Minnesota (MN)
Mississippi (MS)
Missouri (MO)
Montana (MT)
Nebraska (NE)
Nevada (NV)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
New York (NY)
North Carolina (NC)
North Dakota (ND)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Pennsylvania (PA)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Vermont (VT)
Virginia (VA)
Washington (WA)
West Virginia (WV)
Wisconsin (WI)
Wyoming (WY)
U.S. Territory (UT)
Foreign Country (FC)
Military Posting (MP)
Zip Code:
Home
Telephone:
Work Telephone:
For
Major below, indicate what was your major field of study. If you
had only 1 major, use First Major Only. If you had 2 Majors, then
use First Major and Second Major, and so forth.
Major,
First:
First Major, Pull Down and Select
Air Conditioning & Refrigeration Technology
(TC) - 4310
Biotechnology (AAS) - 0477
Biotechnology (AC) - 0883
Business Technology: Accounting Option (TC)
- 4260
Business Technology: Management Option (TC)
- 4860
Business Technology: Office Administration
Option (TC) - 4280
Business Technology (AAS) - 280
Computer Network Technology (TC) - 4446
Computer Network Technology (AAS) - 0345
Criminal Justice Technology: Crime Scene
Investigation Option (TC) - 0387
Criminal Justice Technology (AAS) - 0390
Drafting & Computer Aided Design (TC) - 4413
Drafting & Computer Aided Design (AAS) -
0315
Early Childhood Paraprofessional Technology
(CP) - 0018
Early Childhood Paraprofessional Technology
(AAS) - 0485
Electrical & Electronics Technology: Electro-Mechanical
Maintenance Option (TC) - 4630
Electrical & Electronics Technology: Industrial
Electricity (TC) - 4637
Electrical & Electronics Technology (AAS)
- 0460
Emergency Medical Technology - Basic (CP)
- 0015
Emergency Medical Technology - Intermediate
(CP) - 0077
Emergency Medical Technology - Paramedic
(TC) - 4520
Emergency Medical Technology - Paramedic
(AAS) - 0470
Fire Science Technology (AAS) - 0495
General Education (AA) - 0050
General Studies (AGS) - 0900
General Technology (AAS) - 0517
Industrial & Mechanical Technology (TC) -
4620
Industrial & Mechanical Technology (AAS)
- 0570
Information Systems Technology (TC) - 4773
Information Systems Technology (AAS) - 0355
Internet & Web Technology (TC) - 4380
Internet & Web Technology (AAS) - 0320
Microsoft Office Specialist - Proficient
(CP) - 4381
Microsoft Office Specialist - Expert (CP)
- 4382
Nursing Assistant/CNA (CP) - 4750
Nursing, Practical/LPN (TC) - 4660
Nursing/LPN to RN Transition (AAS) - 0715
Paralegal Technology (AAS) - 0610
PC Maintenance & Repair (TC) - 4502
Phlebotomy (TC) - 4787
Quality Management & Workforce Leadership
Specialist (CP) - 0017
Radiologic Technology (AAS) - 0790
Respiratory Care Technology (AAS) - 0816
Surgical Technology (TC) - 4890
Surgical Technology (AAS) - 0835
Teaching (AAT) - 1005
Web Design (CP) - 4430
Welding Technology: MIG Option (CP) - 4715
Welding Technology: TIG Option (CP) - 4713
Welding Technology (TC) - 4900
Major,
Second:
Second Major, Pull Down and Select
Air Conditioning & Refrigeration Technology
(TC) - 4310
Biotechnology (AAS) - 0477
Biotechnology (AC) - 0883
Business Technology: Accounting Option (TC)
- 4260
Business Technology: Management Option (TC)
- 4860
Business Technology: Office Administration
Option (TC) - 4280
Business Technology (AAS) - 280
Computer Network Technology (TC) - 4446
Computer Network Technology (AAS) - 0345
Criminal Justice Technology: Crime Scene
Investigation Option (TC) - 0387
Criminal Justice Technology (AAS) - 0390
Drafting & Computer Aided Design (TC) - 4413
Drafting & Computer Aided Design (AAS) -
0315
Early Childhood Paraprofessional Technology
(CP) - 0018
Early Childhood Paraprofessional Technology
(AAS) - 0485
Electrical & Electronics Technology: Electro-Mechanical
Maintenance Option (TC) - 4630
Electrical & Electronics Technology: Industrial
Electricity (TC) - 4637
Electrical & Electronics Technology (AAS)
- 0460
Emergency Medical Technology - Basic (CP)
- 0015
Emergency Medical Technology - Intermediate
(CP) - 0077
Emergency Medical Technology - Paramedic
(TC) - 4520
Emergency Medical Technology - Paramedic
(AAS) - 0470
Fire Science Technology (AAS) - 0495
General Education (AA) - 0050
General Studies (AGS) - 0900
General Technology (AAS) - 0517
Industrial & Mechanical Technology (TC) -
4620
Industrial & Mechanical Technology (AAS)
- 0570
Information Systems Technology (TC) - 4773
Information Systems Technology (AAS) - 0355
Internet & Web Technology (TC) - 4380
Internet & Web Technology (AAS) - 0320
Microsoft Office Specialist - Proficient
(CP) - 4381
Microsoft Office Specialist - Expert (CP)
- 4382
Nursing Assistant/CNA (CP) - 4750
Nursing, Practical/LPN (TC) - 4660
Nursing/LPN to RN Transition (AAS) - 0715
Paralegal Technology (AAS) - 0610
PC Maintenance & Repair (TC) - 4502
Phlebotomy (TC) - 4787
Quality Management & Workforce Leadership
Specialist (CP) - 0017
Radiologic Technology (AAS) - 0790
Respiratory Care Technology (AAS) - 0816
Surgical Technology (TC) - 4890
Surgical Technology (AAS) - 0835
Teaching (AAT) - 1005
Web Design (CP) - 4430
Welding Technology: MIG Option (CP) - 4715
Welding Technology: TIG Option (CP) - 4713
Welding Technology (TC) - 4900
Major,
Third:
Third Major, Pull Down and Select
Air Conditioning & Refrigeration Technology
(TC) - 4310
Biotechnology (AAS) - 0477
Biotechnology (AC) - 0883
Business Technology: Accounting Option (TC)
- 4260
Business Technology: Management Option (TC)
- 4860
Business Technology: Office Administration
Option (TC) - 4280
Business Technology (AAS) - 280
Computer Network Technology (TC) - 4446
Computer Network Technology (AAS) - 0345
Criminal Justice Technology: Crime Scene
Investigation Option (TC) - 0387
Criminal Justice Technology (AAS) - 0390
Drafting & Computer Aided Design (TC) - 4413
Drafting & Computer Aided Design (AAS) -
0315
Early Childhood Paraprofessional Technology
(CP) - 0018
Early Childhood Paraprofessional Technology
(AAS) - 0485
Electrical & Electronics Technology: Electro-Mechanical
Maintenance Option (TC) - 4630
Electrical & Electronics Technology: Industrial
Electricity (TC) - 4637
Electrical & Electronics Technology (AAS)
- 0460
Emergency Medical Technology - Basic (CP)
- 0015
Emergency Medical Technology - Intermediate
(CP) - 0077
Emergency Medical Technology - Paramedic
(TC) - 4520
Emergency Medical Technology - Paramedic
(AAS) - 0470
Fire Science Technology (AAS) - 0495
General Education (AA) - 0050
General Studies (AGS) - 0900
General Technology (AAS) - 0517
Industrial & Mechanical Technology (TC) -
4620
Industrial & Mechanical Technology (AAS)
- 0570
Information Systems Technology (TC) - 4773
Information Systems Technology (AAS) - 0355
Internet & Web Technology (TC) - 4380
Internet & Web Technology (AAS) - 0320
Microsoft Office Specialist - Proficient
(CP) - 4381
Microsoft Office Specialist - Expert (CP)
- 4382
Nursing Assistant/CNA (CP) - 4750
Nursing, Practical/LPN (TC) - 4660
Nursing/LPN to RN Transition (AAS) - 0715
Paralegal Technology (AAS) - 0610
PC Maintenance & Repair (TC) - 4502
Phlebotomy (TC) - 4787
Quality Management & Workforce Leadership
Specialist (CP) - 0017
Radiologic Technology (AAS) - 0790
Respiratory Care Technology (AAS) - 0816
Surgical Technology (TC) - 4890
Surgical Technology (AAS) - 0835
Teaching (AAT) - 1005
Web Design (CP) - 4430
Welding Technology: MIG Option (CP) - 4715
Welding Technology: TIG Option (CP) - 4713
Welding Technology (TC) - 4900
Major,
Fourth:
Fourth Major, Pull Down and Select
Air Conditioning & Refrigeration Technology
(TC) - 4310
Biotechnology (AAS) - 0477
Biotechnology (AC) - 0883
Business Technology: Accounting Option (TC)
- 4260
Business Technology: Management Option (TC)
- 4860
Business Technology: Office Administration
Option (TC) - 4280
Business Technology (AAS) - 280
Computer Network Technology (TC) - 4446
Computer Network Technology (AAS) - 0345
Criminal Justice Technology: Crime Scene
Investigation Option (TC) - 0387
Criminal Justice Technology (AAS) - 0390
Drafting & Computer Aided Design (TC) - 4413
Drafting & Computer Aided Design (AAS) -
0315
Early Childhood Paraprofessional Technology
(CP) - 0018
Early Childhood Paraprofessional Technology
(AAS) - 0485
Electrical & Electronics Technology: Electro-Mechanical
Maintenance Option (TC) - 4630
Electrical & Electronics Technology: Industrial
Electricity (TC) - 4637
Electrical & Electronics Technology (AAS)
- 0460
Emergency Medical Technology - Basic (CP)
- 0015
Emergency Medical Technology - Intermediate
(CP) - 0077
Emergency Medical Technology - Paramedic
(TC) - 4520
Emergency Medical Technology - Paramedic
(AAS) - 0470
Fire Science Technology (AAS) - 0495
General Education (AA) - 0050
General Studies (AGS) - 0900
General Technology (AAS) - 0517
Industrial & Mechanical Technology (TC) -
4620
Industrial & Mechanical Technology (AAS)
- 0570
Information Systems Technology (TC) - 4773
Information Systems Technology (AAS) - 0355
Internet & Web Technology (TC) - 4380
Internet & Web Technology (AAS) - 0320
Microsoft Office Specialist - Proficient
(CP) - 4381
Microsoft Office Specialist - Expert (CP)
- 4382
Nursing Assistant/CNA (CP) - 4750
Nursing, Practical/LPN (TC) - 4660
Nursing/LPN to RN Transition (AAS) - 0715
Paralegal Technology (AAS) - 0610
PC Maintenance & Repair (TC) - 4502
Phlebotomy (TC) - 4787
Quality Management & Workforce Leadership
Specialist (CP) - 0017
Radiologic Technology (AAS) - 0790
Respiratory Care Technology (AAS) - 0816
Surgical Technology (TC) - 4890
Surgical Technology (AAS) - 0835
Teaching (AAT) - 1005
Web Design (CP) - 4430
Welding Technology: MIG Option (CP) - 4715
Welding Technology: TIG Option (CP) - 4713
Welding Technology (TC) - 4900
For
Degree below, indicate what was your degree received. If you received
only 1 degree, use First Degree Only. If you received 2 degrees,
then use First Degree and Second Degree, and so forth.
First
Degree Awarded:
First Degree Awarded
Certificate of Proficiency (CP)
Technical Certificate (TC)
Associate of Applied Science Degree (AAS)
Associate of Arts Degree (AA)
Associate of Arts in Teaching Degree (AAT)
Associate of General Studies Degree (AGS)
Second
Degree Awarded:
Second Degree Awarded
Certificate of Proficiency (CP)
Technical Certificate (TC)
Associate of Applied Science Degree (AAS)
Associate of Arts Degree (AA)
Associate of Arts in Teaching Degree (AAT)
Associate of General Studies Degree (AGS)
Third
Degree Awarded:
Third Degree Awarded
Certificate of Proficiency (CP)
Technical Certificate (TC)
Associate of Applied Science Degree (AAS)
Associate of Arts Degree (AA)
Associate of Arts in Teaching Degree (AAT)
Associate of General Studies Degree (AGS)
Fourth
Degree Awarded:
Fourth Degree Awarded
Certificate of Proficiency (CP)
Technical Certificate (TC)
Associate of Applied Science Degree (AAS)
Associate of Arts Degree (AA)
Associate of Arts in Teaching Degree (AAT)
Associate of General Studies Degree (AGS)
What was
your PRIMARY reason for attending SEARK College?
PULL DOWN
Complete coursework toward degree/certificate
at SEARK
Complete coursework toward degree/certificate
for transfer
Obtain or improve job skills
Acquire or maintain licensure
Improve self/personal enrichment
Concurrent High School credit
Explore educational opportunities
Other
Current
Employment Information:
What best
describes your employment situation?
PULL DOWN
Unemployed, but seeking emplyment
Unemployed, but not seeking employment
Employed
If
you are currently unemployed, please skip down to the section titled
Other Information .
Is this
current job in your field of study (your major)?
PULL DOWN
Yes
No
What
is your current Job Title?
What
is your Employer's Name?
Your
Employer's Address?
Your
Employer's City?
State?
Alabama (AL)
Alaska (AK)
Arizona (AZ)
Arkansas (AR)
California (CA)
Colorado (CO)
Connecticutt (CT)
Delaware (DE)
District of Columbia (DC)
Florida (FL)
Georgia (GA)
Hawaii (HI)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Iowa (IA)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Maine (ME)
Maryland (MD)
Massachusetts (MA)
Michigan (MI)
Minnesota (MN)
Mississippi (MS)
Missouri (MO)
Montana (MT)
Nebraska (NE)
Nevada (NV)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
New York (NY)
North Carolina (NC)
North Dakota (ND)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Pennsylvania (PA)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Vermont (VT)
Virginia (VA)
Washington (WA)
West Virginia (WV)
Wisconsin (WI)
Wyoming (WY)
U.S. Territory (UT)
Foreign Country (FC)
Military Posting (MP)
Zip Code?
Your
Employer's Telephone Number?
If we
need to contact your employer, who is the preferred contact person?
When
did you start your current job?
MONTH
January
February
March
April
May
June
July
August
September
October
November
December
YEAR
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
On
average, how many hours do you work each week?
How
are you paid?
PULL DOWN
Hourly
Salary
How
much do you make on an hourly basis?
PULL DOWN
Less than $6.59/hr.
From $6.59/hr. to $8.00/hr.
From $8.00/hr. to $10.00/hr.
From $10.00/hr. to $15.00/hr.
Over $15.00/hr.
Other
Information:
Are
you currently continuing your education?
PULL DOWN
Yes, on a part-time basis
Yes, on a full-time basis
No, not currently
If
you are continuing your education, at what institution?
PULL DOWN
Arkansas Northeastern College
Arkansas State, Mountain Home
Arkansas State Univ., Beebe
Arkansas State Univ., Jonesboro
Arkansas State Univ., Newport
Arkansas Tech Univ.
Black River Technical College
Cossatot Technical College
East Arkansas Community College
Gateway Technical College
Henderson State Univ.
Jefferson School of Nursing
Mid-South Community College
Mississippi Co. Community College
National Park Community College
North Arkansas College
Northwest Arkansas Community College
Ouachita Technical College
Ozarka Technical College
Phillips Community College / UA
Pulaski Technical College
Rich Mountain Community College
South Arkansas Community College
Southeast Arkansas College
Southern Arkansas Univ., Tech Branch
Southern Arkansas Univ.
Univ. of Arkansas Community College - Morriltno
Univ. of Arkansas Community College at Batesville
Univ. of Arkansas Community College at Hope
Univ. of Arkansas at Fayetteville
Univ. of Arkansas at Fort Smith
Univ. of Arkansas at Little Rock
Univ. of Arkansas at Monticello
Univ. of Arkansas at Pine Bluff
Univ. of Arkansas for Medical Sciences
Univ. of Central Arkansas
Other In-State College
Other Out-of-State College
How satisfied
are you with the quality of your program of study at SEARK?
PULL DOWN
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Dissatisfied
Very Dissatisfied
Comments: