Name 

Facility and Address of Employment

Start Date  

Number of Interviews completed:

How many weeks did it take to secure an OT or OT-related position?

Had a job at time of graduation           
1-2 weeks                                             
2-4 weeks                                            
4-6 weeks
6-8 weeks
More than 8 weeks

Was this your preferred practice area?  If not, indicate preferred area. 

1^st choice
2^nd choice                   
3^rd choice

Was this your preferred geographic location?  If not, indicate your preferred geographic location. 

1^st choice
2^nd choice                   
3^rd choice

Rank deciding factors in position selection (1-most important; 5-least important):

Salary                    
Practice Area         
FW Experiences         
Geographic location
Other, please explain

Indicate your salary range:

Lower than $35,000
35,000 to 40,000
40,000 to 45,000
45,000 to 50,000
50,000 to 55,000
55,000 to 60,000
Greater than 60,000