Employment / In-School Forms

Graduates

Liberty Career College would like to follow up on our graduates to see how they are doing.

Are you currently working in the field in which you were trained at Liberty Career College?
We'd love to hear all about it!!

Or.....are you in-school at least part-time?
(6 units or more)
We would love to hear about other career paths you are pursuing!!

Yes, I am employed!

* Indicates required field

Student's Name (When attending LCC) *

First

Last

Program Completed *

2nd Program Completed at LCC *

Student's Address *

Line 1

Line 2

City

State

Zip Code

Country

Student's Phone Number *

Email *

Place of Employment *

Employment Address *

Line 1

Line 2

City

State

Zip Code

Country

Employment Phone Number *

Supervisor's Name *

Supervisor's Direct Phone Number *

Supervisor's Email Address *

Employment Start Date *

Employment End Date (If Applicable) *

Position Title *

How many hours are you working per week? *

less than 20 hours per week 20-29 hours per week 30 hours per week or more

Annual Salary and Wages for Graduates Working in Field of Training *

Additional Comment *

Submit

Yes, I'm in school at least 6 units or more!

* Indicates required field

Student's Name (When attending LCC) *

First

Last

Program Completed *

Medical Assistant Phlebotomy Technician Pharmacy Technician

Student's Address *

Line 1

Line 2

City

State

Zip Code

Country

Student's Phone Number *

Email *

College, University or Institution Attending *

How many units currently taking: *

Less than 6 units 6-12 units 13 units or more

Date / Year Enrolled at College, University or Institution *

Additional Comment *

Submit

Unable to Seek Employment

* Indicates required field

Student's Name(When attending LCC) *

First

Last

Program Completed at LCC *

Student's Address *

Line 1

Line 2

City

State

Zip Code

Country

Student's Phone Number *

Email *

Unable to seek employment because: *

Joined Active Military Incarcerated

Additional Comment *

Submit

Yes, I am employed!

Yes, I'm in school at least 6 units or more!

Unable to Seek Employment

No, I did not become employed within 6 months after the completion date of my program.