PERSONAL INFORMATION
*First Name:
Middle/Maiden Name:
*Last Name:
*Address:
*City:
*State:	*Zip:
Telephone:
*Email Address:

---

PRESENT EMPLOYMENT STATUS
A.	Employment Status (check all that apply)
		Employed full-time
		Employed part-time
		Armed Forces
		Unemployed
	Are you employed in a position related to your major?		Related Somewhat related Unrelated
B.	Current Employment
	1)	Title of present occupation or job position:
	2)	Name of Employer:
		For-Profit Non-Profit
		City:
		State:	Zip:
	3)	Salary Range:	less than $25,000 $25,000-$27,999 $28,000-$31,999 $32,000-$35,999 $36,000-$39,999 $40,000-$44,999 $45,000-$49,999 $50,000-$54,999 more than $55,000
	4)	Type of Industry:	Armed Services Business Civil Service Education Engineering Human Services Health Services/Medical Ministry Science/Environmental Technology Other
		If other, please describe:
	5)	How did you learn about your employment position? Career Services Resources (e.g. Job Center, career fairs) College Faculty or Administrator Student Teaching/Internship Connection Social Media (LinkedIn, Facebook, etc.) Internet Resources Previous Employer Friend/Relative LVC Alumni Other
		If other, please describe:

---

PRESENT EDUCATIONAL STATUS
A.	With respect to Graduate/Professional Program, I am enrolled... Full-Time Part-Time Currently Not Enrolled In Classes
	Name of Institution:
	Program of Study:
	Degree expected/obtained:		Date:
	Did you obtain an assistantship/fellowship?Yes No
B.	I am currently in a second bachelor's degree or certificate program.
	Yes No
	Name of Institution:
	Program of Study:
C.	I am Student Teaching (Fall 2013 semester).
	Yes No
	School/District:

---

OTHER...
A.	Did your LVC education prepare you well and/or enhance your skill level in you occupation or graduate classes? Yes No
	Please describe any details you believe are worth noting.
B.	Do you have any suggestions or comments for LVC?
C.	Are you currently involved in community service and/or professional groups? Yes No
	Please identify the organization(s) and indicate you level of activity and/or leadership responsibilities.

Lebanon Valley College® in Annville, Pa., welcomes 1,600 full-time undergraduates studying more than 30 majors, as well as self-designed majors. Founded in 1866, LVC has graduate programs in physical therapy, business, music education, and science education. Annville is 15 minutes east of Hershey and 35 minutes east of Harrisburg; Philadelphia, Washington, D.C., and Baltimore are within two hours.