Personal information:
Name: Major:
Address:
City: State: Zip Code:
Phone (xxx-xxx-xxxx): Email:
1. When do you expect to graduate? Please indicate month and year: Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year 2003 2004 2005 2006 2007 2008 2009
Plans after graduation:
2. Do you have any job offers? Yes No If so, how many? (If none, skip number 3)
3. If you have accepted a job offer, please provide the following information:
A. Company Name City/State
B. Salary range? Salary $30,000 or less $30,001 - $40,000 $40,001 - $50,000 $50,001 - $60,000 $60,001 - $70,000 Over $70,000
C. Nature of the position? Position Technical Management Research and Development Other If other please specifiy:
4. Are you planning to attend graduate school? Yes No If not, please go to question 6.
5. If you are planning to attend graduate school, please provide the following information:
University Name
Department/Program
Degree Sought
Type and amount of financial support
Program Assessment:
6. How long have you been involved with TLSAMP?
7. What TLSAMP activity was most helpful?
8. What TLSAMP activity was least helpful?
9. What suggestions do you have for improving TLSAMP?
10. If you had a brother or sister majoring in a STEM area at MTSU, would you recommend TLSAMP to him/her? Yes No
11. Would you be willing to assist future TLSAMP participants? Yes No
If so, in what capacity: Assist How? Mentor Speaker Financial Support Other If other please specifiy: