2019 Career & Technical Education             180 Day Follow-up Survey
Student's FIRST Name *
Student's LAST Name *
What CTE program(s) did you attend? (Check all that apply.) *
Required
Student's Current Street Address: *
Student's Current City: *
Student's Current State: *
Student's Current Zip Code: *
Student's E-mail Address: *
Student's Phone Number *
Graduated from which High School *
Are you now?  (Please check ALL that apply) *
Required
If you are continuing your education or have completed your education, please answer the following section of questions.
Name of School
City/State/Zip code of School
Date Enrolled (can be approximate)
MM
/
DD
/
YYYY
Major/Anticipated Major
What type of degree are you seeking or have completed?
If you answered "Other" to the previous question, please specify.
If employed full-time, part-time OR in the military, please answer the following section of questions.
Employer/Company Name
City/State/Zip Code of Employer
Date Employed
MM
/
DD
/
YYYY
Job Title/Responsibilities
Does your job relate to your Career & Technical Education courses completed at CTS or CHS?
Clear selection
Is the education/training you received in your Career & Technical Education courses beneficial to you on your job?
Clear selection
If serving in the military, what branch?
City/State/Zip Code of Military assignment
Please add any comments about curriculum, program, program tools/equipment, and/or instructors.
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