Personal Information

1. Are you presently employed?
   Yes
   No (If no, skip to question #4)
2. If yes, please give the following information:
   

   A.  Place of employment:
   B.  Job Title/Description:
   C.  Indicate your current starting salary range:	Below $15,000 $15,001-$20,000 $20,001-$25,000 $25,001-$30,000 $30,001-$35,000 $35,001-$40,000 $40,001-$45,000 $45,001-$50,000 Above $50,000 (Optional)

3. Is your job related to the education you received at Northeast State?
   Yes
   No
4. If not, have you been employed in a position since graduating from Northeast State Community College related to the education you received?
   Yes
   No
5. If you are not presently employed, please indicate all reasons which best describe your situation:
   

   	Pursuing further education at:
   	Medical condition
   	Family/home responsibilities
   	Military service
   	Volunteer/religious service
   	No jobs available in my field
   	Currently on lay-off status
   	Have not sought a job in my field
   	Previously employed in field of study, but not currently
   	Other (please specify):