Care Extenders Alumni Survey

Contact Information

* First Name :

* Last Name :

* Address 1 :

Address 2 :

* City :

* State :

* Zip :

* Email Address :

Please select any of the following that may be of interest to you:

I would be willing to speak of my post-CE Program accomplishments in an informational video to be shown during orientations.

I would be interested in coming back and speaking to current Care Extenders about my schooling/career choices.

I would like to receive the Care Extender newsletter “Inside Scope”.

1) Are you/will you be enrolled in a graduate or professional degree program after finishing the Care Extender Program? If Yes, where/what degree?

2) What line of work are you currently in?

3) How did the program help you in terms of your future career/school plans?

4) What is the best way to keep in contact with you and keep you updated as a member of this program’s Alumni?

5) How likely are you to encourage a current pre-health student to join the Care Extender Program if they were interested in doing volunteer work?