Roane State Community College
Graduate Employment Status Survey

Section 1 - General Information
Name
Address
City
State
Zip
Phone
R#
Major
Grad Date Month Year
E:mail:

Section 2 - Graduate Status
Please select the category that best describes your status after graduation:
Continuing education. Please indicate name of college
Employed, full-time (proceed to Section 3)
Employed, part-time (proceed to Section 3)
Employed but seeking a job change (proceed to Section 3 then contact the Placement Office for assistance)
Unemployed due to medical condition that prevents me from working. Please explain:
Unemployed due to family/home responsibilities. Please explain:
Unemployed due to volunteer/religious service. Please explain:
Unemployed and not seeking employment by choice (illness, retirement, pregnancy, or other personal reason): Please explain:
Employed, in military service on a full-time basis
Unemployed but actively seeking employment; contact the Placement Office or e-mail studentemployment@roanestate.edu

 

 



 

 

 

 

 







Section 3 - Employment Information
Employer Name (if self-employed, please write SELF)

Work Address

City
State
Zip
Phone
Job Title
Name of Supervisor

Thank you for participating in our annual survey for performance funding.