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Alumni
Name:    
Email Address :
Mailing Address:
Address: City:
State:   Zip/Postal Code:
Home Phone: Cell Phone: 
 

What is the type of degree program you completed at BC?
 Traditional Undergraduate Student
 RN to Baccalaureate (RN Completion)

What year did you graduate from Bloomfield College?
  2006     2005     2004     2003     2002   Other  

What is your gender?  
  Female      Male   

Ethnic group? 
  Multiracial American      African American   
  Native American      Asian American   
  Hispanic American      White American   
  Non-U.S. Citizen or Permanent Resident      Other   

What is your current employment status?  
  Employed full-time in nursing      Employed part-time in nursing
  Employed in health care, but not in nursing      Employed, but not in health care nor nursing
  Not employed, seeking employment      Not employed, seeking academic degree
  Not employed, not seeking employment   

In what type of setting are you working?  
  Hospital      Nursing home      Administration   
  Outpatient clinic/physician’s office      Community health department   
  Home health agency      School      Other   

How many times did you take the NCLEX-RN before you passed?  
  once      twice      N/A (RN to BSN)   

What period of time elapsed after graduation untill you took NCLEX for the first time?
  1-3 months      4-6 months      7-9 months      10-12 months  

For traditional undergraduate students, how long did it take you to secure a nursing job after graduation?  
  Prior to graduation      1-3 months   
  4-6 months      7-9 months   
  10-12 months   

For RN to baccalaureate students, were you promoted or recieved financial gain after you received your degree?  
  Yes      No   

Are you currently pursuing a higher degree in nursing?  
  Yes      No   

Which higher degrees in nursing have you completed?  
  MA/MS      PhD /EdD      Other non-nursing   

Are you certified or licensed in a specialty area(s)?  
  Yes      No   

In which area(s) are you certified or licensed?  
   

What was the salary for your first full-time job in nursing after graduation?  
  Below $30,000      $30,000 to $39,000   
  $40,000 to $49,000      $50,000 to $59,000   
  $60,000 to $69,000      $70,000 to $79,000   
  $80,000 or greater      Not employed full-time   

What is your current annual salary if you are employed full-time?  
  Below $30,000      $30,000 to $39,000   
  $40,000 to $49,000      $50,000 to $59,000   
  $60,000 to $69,000      $70,000 to $79,000   
  $80,000 or greater      Not employed full-time   

Are you a member of the Bloomfield College Presbyterian Alumni Association?  
  Yes      No   

What activities would attract you to become a member of or to become more active in the Bloomfield College Presbyterian Alumni Association? (check all that apply)  
  Continuing Education (CEUs)      Workshops   
  Mentorship Consultation      Research Presentations   
  Dinner with Discussion   
Other    

Which professional organizations do you belong to? (check all that apply)  
  NJSNA      NLN      ANA   
Other    

Would you recommend the Bloomfield College nursing program to a close friend or relative?  
  Yes      No   
Why?    

What is your gender?  
  Female      Female      Female      Female      Female      Female      Male   

How well did BC Nursing Program prepare you to:        
  Not at All Moderately Extremely N/A
Practice nursing with respect for diverse populations?
Use critical thinking to arrive at reasoned judgments
about health care?
Analyze the effectiveness of health care delivery
according to evidence-based practice?
Delegate patient care according to acceptable professional standards?
Act as a case finder, client advocate, and/or change agent?
Communicate effectively with clients, peers and health care professionals regarding multiple, unpredictable health care needs?
Incorporate selected technology to deliver nursing care?
Provide direct patient care to diverse client population?

Use technical skills required for direct patient care?

Plan and implement health care services in the continuum of care?

Develop behaviors consistent with a desire for continued personal and professional development?

Evaluate self and others and make recommendations for change?

Do you give Bloomfield College permission to contact your employer to complete an employer survey? (A yes response indicates that you waive anonymity of this survey)  
  Yes      No   

Current employment contact information:
Name of employer 
Contact person      
Contact phone #    
Contact e-mail       

Is there anything else you would like to tell us?

Office of Admission
Bloomfield College
Bloomfield, NJ 07003

(973) 748-9000 ext. 230
(800) 848-4555 ext. 230
Fax (973) 748-091