ALUMNI FEEDBACK FORM
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First name: Last name:

Address:                   

Date of Birth:                Sex: Male Female

Telephone (home):         Telephone (mobile):      Telephone (office): 

Email:                               UWI Student ID No: 

Education: Undergraduate Postgraduate

Degree Option(s):       Year of completion        Class of Degree:    

Degree Option(s):       Year of completion        Class of Degree:    

Degree Option(s):       Year of completion        Class of Degree:    

Degree Option(s):       Year of completion        Class of Degree:    

Degree Option(s):       Year of completion        Class of Degree:    

Did you live: On Campus Off Campus

Did any member of your family do Engineering at UWI?: Yes No

If yes, please select category and list their names :
    Name :
    Name :
    Name :
    Name :

Are you currently Employed?: Yes No

Employment Dates : Type of Industry : Position/s held : Employment Dates : Type of Industry : Position/s held : Employment Dates : Type of Industry : Position/s held :

Major Accomplishments (brief description) :

What was the most useful aspect of your BSc/MSc/MPhil/PhD training? :

What improvements would you recommend for the Faculty? :

What can the Faculty do to facilitate your career development? :

Given your experience, is there any aspect of Engineering that you feel should have been covered in your BSc/MSc/MPhil/PhD training? :

Please supply a brief biography (send a copy by email, if necessary):

Please attach a recent photo of yourself (when sending this email).