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Health and Exercise Sciences

Graduate Student Survey

* FIELDS ARE REQUIRED

Graduation Date*

If date not listed, please indicate:
 

First Name*
Last Name*   
Maiden Name (or former name used at Truman) if different from Last Name

Spouse's First Name

Spouse's Last Name

Is spouse a Truman graduate?

Yes       No

Maiden/Former Name:

Graduation Date:      

Please update us on your current contact information...

Current Address*    
Current City*    
Current State*    
Current Zip*    
Current Telephone*    
Current E-mail*    

Please provide us with your current academic/occupational status:

Applying to Graduate Schools

Attending Graduate School
     School:
     Program of Study: 
     Degree to Obtain: 

Looking for a Job       Full Time  Part Time 
     Type of Position:      

Placed in a Job          Full Time  Part Time    
     Current Occupation:  

Other, please specify     

Please provide us with your current employment information:
If you have accepted a position, please list your employer information:

Company Name

Department

Address, City, ST, Zip

Supervisor Name

Company/Dept. Website

Job Title

Work Telephone

Work E-mail

Temporary   Permanent

Would you (or your supervisor) be willing to mentor HES student interns at your company or within your department? Yes        No
If yes, contact information if other than you:  (This information may be shared with current HES majors to assist in finding internships)

Name

Telephone

E-mail

Please complete this section if you applied to a graduate program within one year of graduating from the HES Program:

Have you applied (or did you apply) to any graduate schools? Yes       No
If Yes, could you list the names of schools to which you have applied?        

 

What area(s) of study do you wish to pursue?
Have you been accepted to any of the schools above?  If yes, please list...
If you have chosen a graduate school, which school are you or will you be attending?

Name  

Department  

Address, City, ST, Zip

Telephone

Website

Program of Study

When will you/did you begin?

Degree you will obtain?

Degrees from other institutions:

Degree/Institution/Year
Degree/Institution/Year

Other comments

Please let us know any other plans you are pursuing, or comments you would like to share with HES faculty & staff.  Please identify a particular faculty or staff mentor, if desired.  

 
Would you be interested in receiving updates regarding events and programs being pursued in the HES department?
 

Yes          No    

What would you like to receive?

Information on ways to continue your support of the HES program

Job Opportunities (through e-mail)

Notification of current Truman HES faculty/staff positions (through e-mail)

Notification of departmental events that would include HES alumni (through e-mail)

Other, please indicate: