BACKGROUND INFORMATION
1. Which
degree(s) did you receive from Queens College? _____ Bachelor's
_____
Master's _____ Law Degree _____ Certificate
2. In what year did you receive your bachelor's or master's
degree from Queens College?
Bachelor's
19 _____
Master's
19 _____
3. In what major/program did you receive your degree?
Bachelor's Major 1: ________________________
Bachelor's Major 2: _________________________ (if applicable)
Bachelor's Minor: _________________________ (if
applicable) Master's Degree: ___________________________
Certificate: _______________________________
4. Sex:
_____ Female _____ Male
5. Your
birth year: 19 _____
6. Race/Ethnicity:_____
White/Caucasian _____ Asian/Pacific Islander
_____ African American/Black
_____ American Indian _____ Hispanic
_____ Other
7. Is
English your native language? _____ Yes _____ No
8. What country were you born in? _____________________________________
9. Marital
Status: _____ Single _____ Separated _____
Widowed _____ Married _____ Divorced
10. Do
you have children: _____ Yes _____ No
If
yes, how many? _____
11. Are you currently attending graduate school? _____ Yes _____ No
If
yes, what type of study are you pursuing?
_____ Medical School _____ Education
_____ Dental School _____ Arts & Sciences
_____ Law School _____ Business
_____ Other
What university are you attending? _________________________________________________
What discipline or program? _________________________________________
12. After leaving Queens College did you earn any additional degrees?_____ Yes _____ No
If
yes,
what degree? _____ M.D. _____ Ph.D. _____ M.B.A.
_____ M.A. _____ Other (Please Specify Below)
_____ J.D. _____ Ed.D. _____ M.S.W.
_____ M.S.
From
what university? ________________________________________________
In
what year? 19 _______
13. Do you have any licenses and/or Certifications?_____ Yes _____ No
If yes, please specify? ___________________________________________________________
14. Which best describes your current employment status?
a) unemployed, seeking employment (answer Question #15) c) employed part-time (skip to Question #16)
b) managing a household (skip to Question
#22)
d) employed full-time (skip to Question #16)
15. If you are unemployed, what is the main reason? (answer this question, and then skip to Question #22)
a) Continuing my education
b) Retired c)
Other (please specify): ______________________________
16a. Is your current job: 16b. Is your employer located in:
a) directly related to your major in college? a) New York City (Brooklyn, Queens, Bronx, Staten Island, Manhattan)?
b) slightly related to your major in college? b) New York State (excluding New York City)?
c) not related to your major in college?
c) Outside of New York State?
17. How long have you been employed in your current job?
_____ Less than 5 year _____ 5 - 10 years
_____ 10 - 20 years _____ More than 20 years
18. What company, organization, or corporation do you work for? ____________________________________
19. What is your current job title? ____________________________________
20. Do you serve as a board member on any of the following (please specify)?
Corporation ____________________________________ Nonprofit Organization ____________________________________
National/State/City/Local Organization ____________________________________
21. Which
of the following job sectors best describes where you are currently employed?
| ___ | Accounting Firm | ___ | Restaurant | ___ | Merchandising/Retail Store |
| ___ | Bank | ___ | Hotel | ___ | Law Office |
| ___ | Computer/Information Systems | ___ | Publishing | ___ | Nursery/Elementary School |
| ___ | Financial Services/Investment Banking | ___ | Library/Museum | ___ | Jr. High/High School |
| ___ | Transportation/Shipping/Airline | ___ | Media/Entertainment | ___ | College/University |
| ___ | Government Agency (City/State/Federal) | ___ | Chemical/Energy/Sci Lab | ___ | Telecommunications |
| ___ | Health Care Provider/Hospital | ___ | Sales | ___ | Insurance Agency |
| ___ | Private Non-Profit Agency | ___ | Other, (please specify) : | ________________________ |
22. What is your personal yearly income?
_____ Less than $25,000 _____
$25,000 - $34,999 _____ $35,000 - $44,999
_____ $45,000 - $54,999
_____ $55,000 - $74,999 _____ $75,000
- $99,999 _____ $100,000 - $199,999 _____ $200,000
or more
23. What is your total family yearly income?
_____ Less than $25,000 _____
$25,000 - $34,999 _____ $35,000 - $44,999
_____ $45,000 - $54,999
_____ $55,000 - $74,999 _____ $75,000
- $99,999 _____ $100,000 - $199,999 _____ $200,000
or more
24. EDUCATION SKILLS
Below is a list of abilities or skills one might expect to develop while pursuing a post-secondary education. Please circle your responses from 1 to 4 according to the scales shown:
| Importance of skill in your personal/professional success | ||
| 1 = No importance |
1= Not at all
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| 2 = Minor importance |
2 = Very little
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| 3 = Moderate importance |
3 = Somewhat developed
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| 4 = Major importance |
4 = Developed to a great extent
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| 1 | 2 | 3 | 4 | Oral communication skills | 1 | 2 | 3 | 4 |
| 1 | 2 | 3 | 4 | Mathematical skills | 1 | 2 | 3 | 4 |
| 1 | 2 | 3 | 4 | Written communication skills | 1 | 2 | 3 | 4 |
| 1 | 2 | 3 | 4 | Research skills (accessing information, collecting data, etc) | 1 | 2 | 3 | 4 |
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25. SATISFACTION WITH PROGRAM OF STUDY AND STUDENT SERVICES
Indicate your level of satisfaction with your particular major/discipline/program
of study, while attending Queens College, using the following scale:
1 = Very Dissatisfied, 2 = Dissatisfied,
3 = Satisfied, 4 = Very Satisfied,
N/A = Not Applicable
| For your major/program of study: | |||||
| Variety of courses offered | 1 | 2 | 3 | 4 | N/A |
| Availability of courses | 1 | 2 | 3 | 4 | N/A |
| Preparation for further study | 1 | 2 | 3 | 4 | N/A |
| Overall quality of instruction | 1 | 2 | 3 | 4 | N/A |
| Concern for me as an individual | 1 | 2 | 3 | 4 | N/A |
| Class size | 1 | 2 | 3 | 4 | N/A |
| Availability of academic faculty advising | 1 | 2 | 3 | 4 | N/A |
| Quality of academic faculty advising | 1 | 2 | 3 | 4 | N/A |
| Preparation for the workforce | 1 | 2 | 3 | 4 | N/A |
| For student services/programs: | |||||
| Library services and materials | 1 | 2 | 3 | 4 | N/A |
| Academic advising by staff | 1 | 2 | 3 | 4 | N/A |
| Registration procedures | 1 | 2 | 3 | 4 | N/A |
| Academic support services (tutoring, mentoring, etc) | 1 | 2 | 3 | 4 | N/A |
| Personal counseling services | 1 | 2 | 3 | 4 | N/A |
| Health and wellness programs/services for students | 1 | 2 | 3 | 4 | N/A |
| Financial aid counseling and related services | 1 | 2 | 3 | 4 | N/A |
| Career planning and placement services | 1 | 2 | 3 | 4 | N/A |
26. ACTIVITIES AND ORGANIZATIONS
For each type of activity or organization listed, indicate your involvement
according to the following scale:
1 = No Involvement, 2 = Low level of involvement,
3 = Average level of involvement, 4 = High level of involvement
| Involvement at the current time |
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27. Would you be willing to speak with a Queens College student who is looking for career guidance?
_____ No _____ Yes! Have someone from the Career Advisement Office Phone me at the number listed below
28. Would you like to be actively involved in the Queens College Alumni organization?
_____ Yes. Please contact me. _____ No
Last Name: ________________________________ First Name: ________________________________
SS#: ______________________________________ Phone # (optional): ( ) ___ Day ___ Evening