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ALUMNI INFORMATION FORM

Confidentiality will be maintained with all information

  Required fields are in bold
First Name
Last Name
   
Address
City
State
Zipcode
Phone Number
E-mail
   
Graduation Year
Degree
Major
50% or more of your College of Applied Science classes occurred during:
  Day    Evening
Did you co-op while at CAS?
  Yes    No
If yes, number of co-op quarters at CAS:
 

CURRENT EMPLOYMENT

Confidentiality will be maintained with all information

Job Title
Employer Name
Business Address
City
State
Start Date ( MM/DD/YYYY )
   
Please indicate your base salary and title for each year of employment from graduation to five years out. (Salary format example 40000)
At Graduation Title
1st Year Title
2nd Year Title
3rd Year Title
4th Year Title
5th Year Title
 
Please list in reverse order your previous employers, dates of employment and job titles.
Employers

Dates of Employement

Position Titles
 

ADDITIONAL EDUCATION

Please indicate any additional education you have pursued since graduation from the College of Applied Science

University
College (if applicable)
Major   Degree
Full-time Part-time Evening Day
Projected Graduation Date or Past Graduation Date
Certification (type and date received)
 
  Strength of coverage at College of Applied Science Subsequent importance to your career.
Indicate your ability to: Very Weak   Thorough Not Important   Very Important
Function successfully in workplace, including project management and leadership roles. 1 2 3 4 5 1 2 3 4 5
Apply math and physics principles to the solution of engineering technical problems. 1 2 3 4 5 1 2 3 4 5
Use applied skills to identify, evaluate, and solve complex technical problems. 1 2 3 4 5 1 2 3 4 5
Analyze complex areas related to major, identify problem, and maintain these systems. 1 2 3 4 5 1 2 3 4 5
Use software to facilitate engineering problem solving. 1 2 3 4 5 1 2 3 4 5
Function effectively in team-oriented activities. 1 2 3 4 5 1 2 3 4 5
Demonstrate the knowledge of expected standards of ethical and professional conduct. 1 2 3 4 5 1 2 3 4 5
Ability to Verbally communicate ideas. 1 2 3 4 5 1 2 3 4 5
Prepare well-written technical reports. 1 2 3 4 5 1 2 3 4 5
Pursue life-long learning 1 2 3 4 5 1 2 3 4 5

 
List the 2 courses that had the greatest impact on your career and why?
1
2
List the 2 courses that had the least impact on your career and why?
1
2
List the 2 courses that you wish you could have taken and why?
1
2

 

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College of Applied Science
University of Cincinnati
2220 Victory Parkway
Cincinnati, OH 45206-2839
Voice: 513-556-6567
Fax: 513-556-5056
Email: casquestions@uc.edu

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