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Graduation Application

Step 3 - Graduate Placement Record

Section 1: Permanent Address
Date:
Name:		Student ID:
Major:		Award:
Graduation:	Year:
Telephone: ( )
Street Address:
City:	State:	Zip Code:
Email: You must include an email address. If you have none: type "None"
In the event I cannot be reached at the above address and phone, Placement personnel may contact:
Name:		Relationship:
Street Address:
City:	State:	Zip Code:
Telephone: ()

Section 2: Employment
I am seeking employment in the following area(s): (hold ctrl key down to select multiple options) If Other, please list:
I am willing to relocate for employment:

Section 3: Unavailable Status
I am not available for employment because of the following:
Not Applicable I plan to continue my education at Major . I plan to continue my employment in an unrelated field by choice. I am not interested in obtaining employment because . I am not available for employment for health reasons. Other .

Section 4: Employment Status
I am currently employed in the following job which is related to my education at LSC:
Job Title:
Company:
Street Address:
City:	State:	Zip Code:
Job Duties:
Job is to my field. I worked hours.

Section 5: Release of Information
I give the Lake Superior College Placement Office permission to release my name, address and telephone number to prospective employers. I give the Lake Superior College Placement Office permission to release my name and telephone number to prospective students interested in information about my program. By agreeing to the above statements, you give the LSC Placement Office permission to share your data with interested outside parties. Special Skills or abilities that may be of interest to an employer: