Graduate Survey and Release Form <<Back to Previous Page
Please complete this survey and submit it to Career Services before you graduate. (Your information will be kept confidential)
First Name Last Name Address City/State/Zip E-mail
Home E-mail (To be used to contact you about job opportunities after you graduate)
Home Phone # Cell Phone # Other Contact #
EBC Major EBC Graduation Date
Employer Information(if applicable) Name of Employer
Address of Employer
Job Title Date Hired Starting Salary Benefits Yes NO
Please check the category that best describes you: Working in Field of Training Working in Related Field of Training Working Out of Field Not Working At All
Check all that apply: Enrolled or Enrolling in Another Degree Program Member of the Military/Military Reservist Seeking Field-Related Employment Unemployed/Health Related Unemployed/Actively Seeking Employment
Release Authorization
By clicking submit, you are authorizing Erie Business Center to release your resume for career opportunity referrals. Additionally, you realize that the above information is confidential and will be used only for Career Services and alumni follow up.
It is important that you stay in contact with us after you graduate so that we can better serve you. After graduation please stay in touch with Michelle Coon at 456-7504, ext.117 or at michelle.coon@eriebc.edu regarding any changes in your contact information and employment status as they occur.