First Name
Last Name
Address
City
State or Country
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Alaska
Arizona
Arkansas
California
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District of Columbia
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Various, U.S.
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Virgin Islands, U.S.
Zimbabwe
Various, International
Zip Code
Daytime Phone
Evening Phone
Cell Phone
Email
Campus Attended
Please Select...
Aurora
Dallas
Houston
Las Vegas
Lindon
Phoenix
Salt Lake City
Tempe
Westminster
Completion Date
Program(s) of Study
Section 1: Are you certified/licensed?
I am licensed/certified, including:
I am currently unlicensed because:
National Certification
MBLEx
State License
County License
City License
A license is not required.
I am awaiting certification/licensure results.
I need help with certification/licensure.
I am unable to afford testing/licensure.
Section 2: Are you working in your field of study?
Employment Level
Not currently working in my field of study
Employed full-time
Employed part-time
Self-employed
Workplace Name
Supervisor Name
Start Date
Phone Number
Address
City
State or Country
Please Select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Various, U.S.
Andorra
Argentina
Aruba
Australia
Austria
Bahamas
Barbados
Belgium
Belize
Bermuda
Brazil
Bulgaria
Canada
Caribbean
Cayman Islands
Chile
China
Colombia
Costa Rica
Croatia
Cyprus
Czech Republic
Denmark
Egypt
England
Fiji
Finland
France
French Polynesia
Germany
Greece
Guam
Guatemala
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kenya
Korea
Malaysia
Maldives
Malta
Marin
Mauritius
Mexico
Netherlands
New Zealand
Norway
Panama
Philippines
Poland
Portugal
Puerto Rico
Romania
Russia
Saudi Arabia
Singapore
Slovenia
South Africa
Spain
St. Kitts, West Indies
St. Lucia, West Indies
St. Vincent
Sweden
Switzerland
Tahiti
Taiwan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turks and Caicos
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Venezuela
Virgin Islands, British
Virgin Islands, U.S.
Zimbabwe
Various, International
Zip Code
Employment Status
I am employed part-time in a field related to the training and such employment fulfills my vocational and remunerative (financial) objectives.
I verify I am self-employed in a field related to the training and such employment fulfills my vocational and remunerative (financial) objectives. I am actively building a client base in the field and I am earning a training related income.
I am seeking employment in a field related to the training.
I do not plan to practice in a field related to the training and waive employment assistance at this time.*
Reason
Pregnancy
Injury
Military Leave
Further Education
Other (please specify)
* Placement assistance may be reinstated at any time.
Section 3: Feedback
How satisfied are you with the training you received at SEG?
Very Satisfied
Satisfied
Not Satisfied
Did your training prepare you for the workplace?
Yes
No
Did your training prepare you for certification/licensing?
Yes
No
Did your hands-on training in the Clinical Internship prepare you for workplace demands?
Yes
No
Did you learn all of the techniques/modalities required for your present employment?
Yes
No
If you could add a course to the training at SEG, what would it be?
If you have any other suggestions, please detail them below.
Please detail any employment opportunies available to other SEG graduates.
Section 4: Success Story (Optional)
Career Services collects success stories from graduates and students for the purposes of advertising, sharing
information, inspiration, and acknowledgement. These stories are used to promote SEG schools. We request
that every student/graduate supply us with a story of success at some point and we extend that invitation to
you.
By submitting a success story to this site, I hereby consent to the unrestricted use by Steiner
Education Group (and its successors, affiliates, subsidiaries, and assignees) of my name, my success story
(which SEG may edit), and any photographs I have supplied for any purpose (including but not limited to
advertising purposes), in whole or in part, in any form, and in any and all media.
By checking this box I agree that the information I am submitting is true to the best of my knowledge. I also imply my signature to this information.
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