First Name: Last Name: Graduation Date Month: December May August Year: 2011 2012 2013

Degree: Master Social Work - Clinical MS in Social Policy MS in Nonprofit/NGO Leadership PhD in Social Welfare Doctorate in Clinical Social Work Master Social Work - Macro

Dual Degree? If "Yes," please specify Program (Ex: MSW/JD; MSW/MGA):

Street Address: City:

State: ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING Zip:

Phone: Permanent E-mail:

Country of citizenship (NON-U.S. citizens only):

• For non-US citizens: If you accepted US employment, what is your current visa status?

POST-GRADUATION STATUS

What are you doing after graduation? Please select the option that best represents your primary career plan.

Accepted full-time employment Accepted part-time employment Accepted temporary/short-term employment Not working, but seeking employment Continuing current employment Attending full-time graduate school Self-employed Other

If "Other," please specify:

If you are attending additional graduate school, please provide the name of the school and program:

EMPLOYMENT INFORMATION

Organization/Company Name:

Department:

Your Position Title:

City: State: ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING

Country:

Annual Salary (US$ only): (Note: We report only salary averages to protect confidentiality)

JOB OFFER SUMMARY
What was the date of this job offer? (Month/Year):

• How many interviews did you have for the position you accepted?

• If this was not the first job offer you received, when did you receive your first offer of employment? (Month/Year):

• How many total job offers did you receive?
  
  
• For how many other positions did you interview?

JOB FUNCTION:
Please select your principal job function for your primary job only.

50% case management/50% clinical practice Clinical practice: individual/group/family therapy Case Management: crisis intervention, counseling, referral, advocacy Management/administration Program Development/administration Policy analysis/research Fundraising/development Community organizing/advocacy Other

If "other," briefly explain:

SOURCE OF JOB
Please select the option below that best describes the SOURCE of the job you accepted:

E-mail distribution list postings (from Career Services) Career Fairs at Penn PennLink On-campus interview (OCR) Career Services Library subscription of job listings On-line/Internet job board or newsletter listing (non-Penn affiliated) Current or prior employer (not related to your field placement[s]) Newspaper ad, publication subscription Personal contact from family, friends, colleagues, etc. Professional association's career services, conference or job fair Penn Alumni Career Network Faculty Contact Unsolicited letter/call to employer Placement agency/headhunter An agency where you completed your field placement/internship Social Media (LinkedIn, Twitter, etc.) Other

If you selected "an agency where you completed your field placement/internship," during which year of the program did you complete the placement? First Second Third Fourth

If you selected "Other" as your source of employment, please explain:

WHICH CAREER SERVICES DID YOU USE DURING YOUR TIME IN GRADUATE SCHOOL? (Please check all that apply):

ADDITIONAL INFORMATION

May we use your resume, C.V., and/or cover letter as a sample on our website? (Your name and other identifying information will be removed.) Yes No
If yes, please email a copy to fleshman@upenn.edu with the subject line "Sample Job Search Materials for Website."

Would you be willing to give advice to students or participate in Career Services programs as a panelist? Yes No

DEMOGRAPHIC DATA (Optional)

This information is confidential and providing it is completely voluntary. Answering the question or the omission of an answer will not affect the services provided to you by Career Services.

Gender: MALE FEMALE Race: Asian/Pacific Islander Black/African American Hispanic/Latino Native American/Alaskan Native White/Caucasian Other

ADDITIONAL COMMENTS

Please use the space below to describe your job search strategy and share any advice you would offer current students.

THANK YOU!