Name: 

Phone:          E-Mail: 

Permanent Address: 

City, State Zip 

1. What was your status at the end of the semester?
   Academic Dismissal
   Dismissal for non-academic reasons
   Withdrew for financial reasons
   Withdrew for health reasons
   Withdrew for academic reasons
   Withdrew for personal reasons
   Transferred to another institutions
   Transferred from 2 yr. to 4 yr. institutions
   Graduated with Associate's degree
   Graduated with Associate's degree and transferred to a four-year institutions
   Graduated with a Bachelor's degree
   Enrolled in graduate degree programs
   Continuing student

2. What are your plans after you leave Calhoun Community College?
   

3. If you are transferring to another school, where will you be transferring to?
   

4. If you withdrew from school during a semester, what could have helped you remain in school?
   

5. What can Student Support Services do to help you continue your education?
   

6. Please name two things that were most helpful about Student Support Services.
   

7. Please name two things that we can do to improve services for our students
   

8. Do you want to participate in the SSS Alumni Association?  Yes    No

9. Do you want to continue to receive our newsletters?  Yes    No