Employment Status Form

Employment Survey Form

First Name:	MI:	Last Name:
Maiden Name:		Blugold ID:
Address:
City:	State: Zip Code:
Non-University Email:
Cell Phone Number:

Graduation

Graduation Month:	Jan.	May	Aug.	Dec.
Graduation Year:
Major(s):

Employment Information

Employed, Not Considering Other Employment

Type:

Part Time Full Time

	Employer Name:
	City:
	State:
	Zip Code:
	Position Title:
	Annual Salary:

Is this employer a private non-profit organization or a Federal, State, or local public agency?

Yes No

Not Employed, Not Seeking Employment
Not Employed, Seeking Employment
Enrolled in a Continuing Education Program (i.e. graduate, technical, medical, or prof. school)

	Institution Name:
	City:
	State:

1. How many internships did you participate in while enrolled at UW-Eau Claire?

2. Which resources in Career Services did you find most helpful?

Blugold CareerLink	Career Assessments	Career Discovery Center
Career Fairs	Career Services Email Contact with Faculty
Career Services Staff	Career Services Website	On Campus Interviews
Resume Review	Workshops

3. How did you find out about the Job? ( check all that apply )

Blugold CareerLink	Career Fair	Career Services Staff
Faculty	Internet	Internship
Networking	Newspaper	Professional Organization

4. Rank the following skills 1-10, 10 being the most important skill to you in the successful pursuit of your career after graduation.

Communication:	Interpersonal:
Motivation/Initiative:	Flexibility/Adaptability:
Teamwork:	Technical:
Leadership:	Honesty/Integrity/Ethics:
Academic Achievement/GPA:	Analytical/Problem-solving: