Teaching Graduate Survey

Career Services graphic

Teaching Online Form

As part of the follow-up program at Dakota State’s Placement Office, we need the following information to grade our efforts and services. Please complete and return this form promptly, as we are compiling our placement data from this document. Your cooperation is greatly appreciated. All salary information will remain CONFIDENTIAL.

Date
Name		Maiden Name
Present Address
^Street		^City
^State		^Zip

Telephone Number		E-Mail Address

College Major/Minor

Please check the appropriate box and complete the information requested.

I HAVE ACCEPTED A TEACHING RELATED POSITION

Name of School
School’s Address
School's City/State/Zip
School’s Phone Number
Subject or Grade(s) Taught
Name of District Administrator
Starting Salary	$	Annually	Monthly	Hourly
Do you wish to have your employer information (no salary information) shared with the DSU
Alumni Office?	Yes No

I HAVE ACCEPTED A NON-RELATED TEACHING POSITION

Name of Business or Employer
Business’s Address
Business's City/State/Zip
Business’s Phone Number
Job Title
Name of Personnel Manager
Starting Salary	$	Annually	Monthly	Hourly
Do you wish to have your employer information (no salary information) shared with the DSU
Alumni Office?	Yes No

I AM CONTINUING MY EDUCATION ON A FULL-TIME BASIS

Name of School
Curriculum
Date of Enrollment

I AM CURRENTLY SEEKING EMPLOYMENT

Type of Position Desired
Geographic Preference

I AM NOT EMPLOYED, NOR SEEKING EMPLOYMENT AT THIS TIME

OTHER (please explain)

Were the services from the Career & Placement Services Office helpful to you? Yes No

In your opinion, how can we better serve our students?

DSU Career Services Disclaimer