Employment Reporting

Personal Information
*First Name:		*Last Name:
Address:		*City:

*State:		*Zip:
Phone Number:		*Email Address:
Student ID:		*Major:
	*Are you currently a member of the SE Alumni Association?
	*Would you like to receive information on the SE Alumni Association?
Employment Information
*Employer:		Work Address:
Work Phone:		*Start Date:	/ /
*Job Title:		*Starting Salary:
		(used for statistical purposes only)
Supervisor's Name:
*Is this position related to your degree?
*required fields

This information will remain strictly confidential and will be used for statistical purposes only.