Is It Working? Self Help Guide for Evaluating Vocational and Adult Education Programs: September 1995

A r c h i v e d  I n f o r m a t i o n


Appendix A5
Initial Job Placement Information Form

Name:________________________

Vocational Training Program:________________________

Program Completion Date: ________________________

  1. Placed in Job at Program Completion or Exit?
    ___Yes ___No

    If no, is individual seeking employment?
    ___Yes ___No

      If yes:
      		If no, why not?
      ______________________________

    1. Name of Company:____________

      Address:____________

      Telephone:____________

      Supervisor's Name:____________

    2. Nature of Job: ________________________________________________

      ___________________________________________________________

    3. Is Job Related to Training?
      ______Yes ______No

    4. Date Hired:__________________

    5. Date Job Begins:_______________

    6. Number of Hours to be Worked Per Week:____________

    7. Starting Gross Wage Per Hour:____________

    8. Does Job Include Medical Benefits?
      ______Yes ______No

  2. Enrolled for Further Education
    ______Yes ______No

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Appendix A4. Student Follow-Up Telephone Survey [Index] Appendix A6. Job Placement Follow-Up Questionnaire