Graduate Exit Survey

Graduate Exit Survey

In order to receive funding, Southern Missouri Technical Institute is required to survey all graduates regarding their employment/educational opportunities. Please take a moment to fill out the questionnaire. The information obtained from this form will assist us in mandated student follow-up.
Student Name*

First NameMiddle NameLast NameSuffix
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Student Email Address*
example@example.com
Graduate District*
If you are a SoMoTech adult student, enter "Adult Student"

Other Contacts

Please provide contact persons who will know where you are in the next 12-18 months (preferably someone who does not live in the same household). This information is collected so that we will be able to contact you for our student follow-up should you move to a different residence. An example might include an aunt, uncle, parent, or grandparent.
Other Contact #1 Name*

First NameLast Name
Other Contact #1 Relationship to Student*
Other Contact #1 Home Phone Number
Please enter a valid phone number.
Other Contact #1 Cell Phone Number
Please enter a valid phone number.
Other Contact #2 Name*

First NameLast Name
Other Contact #2 Relationship to Student*
Other Contact #2 Home Phone Number
Please enter a valid phone number.
Other Contact #2 Cell Phone Number
Please enter a valid phone number.

	Please tell us a little about your plans:
Go to work
Continue my education
Enlist in the military
Other
Nothing (by choice or took class for personal interest)

Please verify that you have had the opportunity to review the operational plans located in item #2 on the Student Exit Process page. Any feedback can be included in this survey or emailed to info@scccwp.edu.*

Agree
Please verify that you were given information on voter registration (available at www.scccwp.edu under the Financial Aid tab, Consumer Information).*

Agree
Thank you for completing this survey. If you have any additional thoughts about how SoMoTech can improve, please put those here.
Should be Empty:

Other Contacts