Placement Survey

Name *

First

Last

Email *

Home Phone *

Address *

Address Line 1

City

State

Zip Code

I graduated from (pick your program) *

Please check the box that applies to you: *

Other: Please Explain *

Date I started work *

Please select what best describes your schedule *

I work approximately 20-29 hours per week and I chose to work part-time
I work at Least 30 Hours Per Week

Business or Salon Name *

Business Address *

Business Phone *

Name of Supervisor *

Please provide your annual income range *

Less than $20,000 (less than $384/week)
$20,001 to $25,000 (approx. $385/week to $480/week)
$25,001 to $40,000 (approx. $480/week to $768/week)
$40,001 to $45,000 (approx. $769/week to $865/week)
$45,001 to $50,000 (approx. $866/week to $961/week)
Greater than $50,000 (approx. $962+/week)

Signature *

Date *

The Career Services Department is always here to help you if you need further career assistance. Click the submit button when you are done. Thanks for helping us keep accurate records. After you click the SUBMIT button and the information is confirmed, please come to the school to receive your wood license plaque and we’d like to thank you for your time. Please choose one of the three gifts below:

Multiple Choice *

Gift Certificate for Chevron
Gift Certificate for Starbucks
Gift Certificate for Vons

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