Adult Degree Survey

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Adult/Online Degree Graduate Survey

The information in this form is required by outside agencies and accrediting authorities for reporting purposes and will be reported in a statistical format only. All personal information will remain confidential.

Name*

First Name

Last Name

Maiden Name (If Applicable)

Spouse Name (If Applicable)

First Name

Last Name

If you have dependent children, please list their name, date of birth, and gender.

Preferred Email Address*

Phone*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Country

Education Information

Major*

Program Completion Date*

Month/Year

Employment Information

Company Name (If Employed)

Job Title

Business Address

City

State

Does Huntington University have permission to use your name, city, state, grad year, occupation, and email address in the Alumni Portal? (This is password protected and used only by alumni)*