Exit Interview Form

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Exit Interview Form for Graduating Students
Please PRINT clearly.
Answer all questions. When complete and signed, please deliver this Exit Interview to your Campus
Registrar’s office by mail, fax, scanned email, or in person. All answers are kept confidential and will in no way reflect negatively on the
.
person completing this form
1. Name: ______________________________________________________Student ID #______________ DOB: _______________
MM/DD/YYYY
2. Address: _________________________________________________________________________________________________
3. Phone: _________________________ Email address: ___________________________________________________________
4. Last Schiller Campus attended: ______________________ Major: _________________________ Degree:__________________
AA, AS, BA, BBA, BS, MA, MS, MBA
5. Country of Citizenship? _______________________
6. Graduation date:
Spring 2009
Summer 2009
Fall 2008
7. Are you continuing your education?
Yes
or
No
8. If yes, where?
Schiller
or
other
9. Name of the institution: ___________________________________ 10. What degree are you seeking: ______________________
11. Address of the Institution: ___________________________________________________________________________________
12. Are you currently working or do you have a position lined up?
Yes
or
No
13. If no on #12 please go to #15. If yes, provide the following:
Name of Employer:
Address of Employer:
Telephone:
Your Job Title:
14. Is your current position
(Check the appropriate box)
in your field of study,
in a related field,
in a field NOT related to your studies?
15. If you do not have a job, are you actively seeking employment?
Yes
or
No
(If yes, go to #16, if no, go to #17)
16. If yes to #15, did you contact Career Planning department at Schiller?
Yes
or
No
17. Was the Career Planning department helpful in the following:
Resume
Interviewing
Job search
Placement
Other:
_______________________________________
Cover letter
Skills
18. If no to #15, what are your plans for the immediate future?
(check one)
Education
Military
Family
Health
Other:
_________________________________
Issues
19. How would you rate the usefulness of your educational preparation at Schiller for your career plans?
(Check appropriate box.)
Not Helpful
Somewhat Helpful
Helpful
Very Helpful

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