College of Engineering
Alumni Survey

Name, Address, & Phone

Title:  Mr.  Mrs.  Ms.  Dr. No Response. 

First Name:        
Middle Name:      
Last Name:       



Suffix: Jr. Sr. III IV No Response

Street or P.O. Box: 
City:   State: Zip: 
Country: 

Home Phone: 
Email: 

Employment

Are you currently currently employed? Yes No No Response

If yes:

Company Name: 
Street or P.O. Box: 
City: State: Zip: 
Country: 
Position or Title: 
Company Phone: 

Annual Salary:

Under $20,000$20,000-30,000$30,000-40,000$40,000-50,000
$50,000-60,000$60,000-70,000$70,000-80,000$80,000-90,000
$90,000-100,000Over $100,000 No Response
Are you employed in your major field of study? Yes No No Response
If no, what field are you employed in? 
How long upon graduation did it take before obtaining a job?
0 months1-3 months3-6 months6-9 months
9-12 monthsOther No Response
If not employed, are you still seeking employment? Yes No No Response
If yes, what area: 

First UL Degree Received  
Degree
Ex. BS
Month/Year
Ex. 05/96
Major
Ex. Chemical Engineering
University
Ex. University of Louisiana at Lafayette
  
 

Other Degrees Received:  

 
Degree
Ex. BS
 

 Month/Year
Ex. 05/96

 		 Major
Ex. Chemical Engineering

 		 University
Ex. University of Louisiana at Lafayette

 

Professional Licenses

EIT: Yes No No Response
EIT Date:

PE: Yes No No Response
PE Date:
PE State:
Other:
Graduate School
Have you applied to graduate school? Yes No No Response
If yes, where:
Have you been accepted? Yes No No Response
If yes, where:

UL Lafayette Services

While attending UL Lafayette:

Did you participate in an internship program through the department or college? Yes No No Response

Did you use the services of the Career Placement Center at UL Lafayette? Yes No No Response

College of Engineering Web Site

May we put your job title, company name, and email on our web page? Yes No No Response

Do you have a personal web page we can link to? Yes No No Response

If yes, the URL is:
Does your company have a web site we can link to? Yes No No Response
If yes, the URL is:

Accomplishments

Comments

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