MACC 180 Day Vocational Follow-Up Form

Moberly Area Community College

180-Day Follow-Up

This feedback from you will help us to assess the the validity of the career programs at MACC. Your assistance in completing this form will be appreciated. All information will be kept confidential. Please complete the form and click "Submit" at the end of the form. This survey will probably take about 5 minutes to complete.

Name:

Last

First

Middle

Maiden (if applicable)

Address:

Street

City

State

Zip

Phone:

E-Mail:

Home

Work or School

Student ID:

Social Security #

Graduation Date: Month and Year

MACC Major:

Associate of Applied Science (AAS)
Associate Degree Nursing (ADN)
Certificate

Please list the position you hold now below.

Employer:

Address:

Street

City

State

Zip

Job Title:

*Salary Range:

Per:

Supervisor: Title:

Date of Employment: Employer's Phone #

*All information including salary is held in the STRICTEST CONFIDENCE. Salary information is reported to the state in statistical form. Personal information is excluded.

I use what I learned at MACC in my job. Yes No

Have you continued your education either to update or learn new skills or to work toward an advanced degree?

College, University, or other:

Date Enrolled:

Major or Skill Update Area:

Completion Date:

Degree or Award:

Advisor:

Complete the following if you held a job before your current one or if you have more than one job currently.

Employer:

Address:

Street

City

State

Zip

Job Title:

Salary Range:

Per:

Supervisor: Title:

Date of Employment:

Date Employment Ended:

Employer's Phone #

Reason for Leaving:

Please select the primary campus you attended:

Please rate the following items concerning your instructional experience at MACC.
		N/A	Poor	Fair	Good	Exellent
1.	Attitude of teaching staff at MACC.
2.	Knowledge of faculty in their field.
3.	Challenge offered by chosen major.
4.	Satisfaction with course content within major.
5.	Preparation provided for chosen career goal.
6.	Concern for you as an individual shown at MACC.
7.	Overall impression with quality of program at MACC.

If I could change one thing about my instructional experience, it would be...

The best thing about my instructional experience was...

Please rate the following items concerning support services at MACC.
		N/A	Poor	Fair	Good	Excellent
1.	Advisement
2.	Student Services Office/Personnel
3.	Bookstore
4.	Buildings/Grounds
5.	Computer Labs
6.	Library
7.	Student Life (Campus Involvement)
8.	Food Services
9.	Learning Center Services
10.	Placement Services
11.	Academic Affairs Office
12.	Career/Technical Office
13.	Off-Campus Site Office
14.	MACC Web Site Navigation

If you could change one thing about support services at MACC, it would be...

The best thing about support services at MACC was...

Additional Comments: