Alumni Questionnaire

First Name:
Middle Name:
Last Name:
Date of Birth (yyyy-mm-dd): Male Female



Home Address (Optional):
Telephone Contact (Optional): E-mail:



UWI Student I.D. Number (Optional):
Year of Graduation (yyyy):
Option:
Class of Degree Obtained:



Are you currently enrolled in graduate studies?: Yes No
If so, please indicate the name of the institution:
If not, do you intend to do so in the near future?: Yes No
Will you be applying to UWI?: Yes No



Are you currently employed?: Yes No
If yes, please indicate for the organization:
Name:
Address:
Telephone:



Category of employment:

If Other Please Specify

Name of post in which you are currently employed:
When do/did you start (yyyy-mm-dd)?:
Gross Monthly Salary:



Job Status: Full-Time Part-Time
Permanent Temporary



Is this your first job?: Yes No
Is your current job directly related to the degree you acquired at UWI?: Yes No
Do you consider your prospects good?: Yes No



If not yet employed, what type of employment are you now seeking (In order of priority)?:
1.
2.
3.


Last updated January 31st 2007
Send e-mail comments to The Secretary
The Department of Civil Engineering,
Faculty of Engineering,
University of the West Indies,
St. Augustine