Graduating Member Survey - Summer 2011

* Full name:

* Chapter Designation (i.e. Indiana Zeta):

* What is your graduating degree (ie. BS Mechanical Engineering):

Do you have a degree or minor (ie. minor manufacturing)?

* What are you post graduation plans (select all that apply):

Attending graduate school

Entering military service

Entering the workforce

Living with my parents

Other

* Please provide us with a non-school related email address:

* Mobile phone number (please include area code):

* Would you be interested in getting involved with any Phi Kappa Theta events and activities in your area after graduation?

Yes, I am interested in getting actively involved

Yes, but only attending events and activities only

Not at this time

* If there are no events and activities in your area, would you be willing to serve as a regional coordinator?

Yes

No

* Please provide the city and state you will be post graduation:

Please contact [email protected] if you have any questions regarding this survey.