Iowa Wesleyan College

Graduation Survey

CONTACT INFORMATION: Last Name: First Name: MI: Address: City: State: ZIP: Phone: Email: YOUR PROFILE AS A STUDENT: Today's Date: Birth Date: Last 4 digits of Soc. Sec. #: Month of Graduation: Female Male Traditional age student (<25) Non-traditional age student (25 or over) Residence Hall Commuter Extended Learning Did you graduate from High School in the state of Iowa?: Entered IWC as: Major(s): Degree: Teaching License?: Pursued pre-professional course of study (pre-law, pre-med, other)? If Yes: College/universities attended before Iowa Wesleyan: Marital Status: Spouse's Name: Date of Marriage: Spouse's College: Highest degree earned: Children's names and birthdates: Contacts: (Names and addresses of two friends or relatives, other than parents, who will always know your current address.) EMPLOYMENT/GRADUATE SCHOOL STATUS: Status (Check all that apply): Employed full-time Employed part-time - hours per week: Unemployed Graduate School Temporary/Substitute Teaching At home by choice Employment Job Title: Does this position require a college degree?: Employer: Address: Month and year employed: Salary (optional) annually: Did field experience or RSI lead to your employment?: Graduate school program or major: Graduate School and Address: How satisfied are you with your current employment situation or graduate school program? How concerned are you with finding satisfying employment? On a scale of 1 to 10 (10 being the highest) how satisfied are you with your Iowa Wesleyan experience? Please Explain: STUDENT INVOLVEMENT: Mark the organizations or activities in which you have participated at any point while attending IWC: (Hold CTRL for multiple selections) ATHLETICS: (give years of participation and note if you lettered) Baseball Basketball Cross Country Football Golf Soccer Softball Track and Field Volleyball Information for press release announcement of your graduation: City: State: (Name) (Address) (Name) (Address) Parent's Names: Address: Country: