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Graduate Survey and Release Form

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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  

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.

This information supersedes previous information obtained by the Placement Office.