Exit Interview


CAMPUS & STUDENT INFORMATION:

Graduate Name:

Graduate Street Address:   City:  

State: Zip Code:  

Email Address:   Phone Number:  

Gender:   Ethnicity:  

Program:  

Instructor(s):  

PAYMENT INFORMATION:

Method of Payment:  

PLACEMENT CONFIRMATION:

Please put any type of Employment, whether in-field or out-of-field. If not employed, please put "Not Employed" in Required Boxes.

Place of Employment:  

Name of Employer/Contact Person:  

Business Street Address:  

City:    State:    Zip Code:  

Business Phone Number:   Business Fax Number:  

Business E-Mail:  

Job Title:  

Please List Four Job Duties:

Job Duty #1:  

Job Duty #2:  

Job Duty #3:  

Job Duty #4:  

Wage Per Hour:    Total Hours per Week:  

Does the Student Need Placement Assistance?  


GRADUATE SURVEY:

Please respond to the following:
INSTRUCTIONS: Consider each item separately and rate each item independently of all others. Select the rating from the dropdown that indicates the extent to which you agree with each statement. Please do not skip any item. Any question scored less than 3 requires explanation or if you wish to leave additional comments, please describe in the box below the statement. All graduates must complete this survey to receive their transcript and certificates.

5 = Strongly Agree 4 = Agree 3 = Acceptable 2 = Disagree 1 = Strongly Disagree

General Evaluation

I was informed that I would receive a program certificate of completion after completing all requirements.  

The classroom/clinical portion of the program adequately prepared me for employment.  

The clinical externship portion of the program adequately prepared me for employment, if applicable.  

Upon completion of my classroom training, an externship site was available to me, if applicable.  

Admissions staff are knowledgeable in programs and provide courteous service.  

The course content is consistent with the program’s goals.  

I would recommend this program/institution to friends or family members.  

Instructor Evaluation

My instructors were knowledgeable in the subject matter and relayed this knowledge to the class.  

The instructor’s development and presentation of material is consistent with the syllabus.  

The instructor explains concepts clearly and in an organized manner.  

The instructor encourages group interaction and critical thinking (if applicable).  

The instructor provided adequate feedback in a timely manner.  

STUDENT SERVICE LINKS

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I, , acknowledge upon TMIKY, IDT and Choice MD receiving this Graduate Survey my Transcript(s) and Certification(s) will be delivered to me. I acknowledge I have had the opportunity to express my thoughts in writing concerning my education with TMIKY. I also authorize and give consent to TMIKY, IDT and Choice MD to contact my employer and obtain employment verification needed to maintain licensure requirements and placement tracking records. 

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Signature Certificate
Document name: Exit Interview
lock iconUnique Document ID: 2951168c644fd4dbf9dcaad80d5eced8a83a8daa
Timestamp Audit
December 16, 2019 5:38 pm EDTExit Interview Uploaded by Cassie Black - [email protected] IP 99.190.9.234
December 16, 2019 7:31 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 65.29.85.242
December 16, 2019 7:49 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 65.29.85.242
December 16, 2019 8:26 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 65.29.85.242
December 16, 2019 8:33 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 65.29.85.242
December 16, 2019 8:35 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 65.29.85.242
December 16, 2019 8:36 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 65.29.85.242
December 16, 2019 8:37 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 65.29.85.242
December 16, 2019 8:38 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 65.29.85.242
December 16, 2019 8:39 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 65.29.85.242
December 16, 2019 8:58 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 65.29.85.242
December 16, 2019 9:00 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 65.29.85.242
December 16, 2019 9:01 pm EDTEnrollment Agreements - [email protected]dpress-642896-2094696.cloudwaysapps.com added by Cassie Black - [email protected] as a CC'd Recipient Ip: 65.29.85.242
December 16, 2019 9:05 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 65.29.85.242
December 16, 2019 9:08 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 65.29.85.242
July 28, 2020 12:47 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
July 28, 2020 12:49 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
July 28, 2020 1:17 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
July 28, 2020 1:23 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
July 28, 2020 1:27 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
July 28, 2020 1:41 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
July 28, 2020 1:41 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
July 28, 2020 1:44 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
July 30, 2020 2:39 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
July 31, 2020 1:57 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
August 26, 2020 1:57 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
April 12, 2021 10:45 am EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
April 20, 2021 10:03 am EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
April 20, 2021 10:04 am EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
April 20, 2021 10:04 am EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
April 20, 2021 10:06 am EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected]96-2094696.cloudwaysapps.com as a CC'd Recipient Ip: 99.190.9.234
April 21, 2021 11:48 am EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
May 4, 2021 11:57 am EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
May 20, 2021 8:58 am EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
June 22, 2021 1:51 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 2603:6010:3044:c00:1cf0:276b:61a8:82c7
June 23, 2021 10:30 am EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
December 29, 2021 2:36 pm EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
March 30, 2022 9:01 am EDTEnrollment Agreements - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234