REQUIRED PROGRAM COMPLETION/EXIT APPLICATION

Pasco County Schools
(Marchman Technical College)

First Name
Last Name
Primary Phone Number Primary Phone Number - ### - ### ####
Email
Program Name
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Reason For Exit
Program Information
Do you feel that the program has been effective in preparing you for employment in your area of instruction?

Do you feel that the program has been effective in preparing you for employment in your area of instruction? Yes No
Are you satisfied equipment, tools, supplies, and/or materials available in your program area?

Are you satisfied equipment, tools, supplies, and/or materials available in your program area? Yes No
Do you feel that your instructor had knowledge necessary to provide you with the practical skills necessary for employment?

Do you feel that your instructor had knowledge necessary to provide you with the practical skills necessary for employment? Yes No
What were the best features of your program?
How do you feel the program could be improved?
Would you like to provide additional comments and/or suggestions about your program or Fred. K. Marchman Technical College?
Placement Information
Placement Status

Placement Status I am employed in an occupation related to my training I am employed in an occupation not related to my training and I do not plan to seek employment in the industry. I am currently seeking employment in an occupation related to my training I am presently in the armed services I plan to enlist in the armed services in the near future Due to personal lack of interest, I do not plan to seek employment in this industry I attended this program for personal enrichment and do not plan to seek employment in the industry I am continuing my education At this time, I am unsure I am not available for employment due to illness, retirement, pregnancy, or other such condition. Indicate reason:
If "I am continuing my education" was selected on the field above, please specify school below. (If not applicable to you, write NOT APPLICABLE)
If you are presently employed or if you have been employed since your enrollment at MTC, please complete the information below: (If not applicable to you, write NOT APPLICABLE)
Name of Employer
Employer’s Address Employer’s Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Employer’s Phone Number Employer’s Phone Number - ### - ### ####
Supervisor's Name
Job Title
Starting Salary
Hire Date Hire Date / MM / DD YYYY
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REQUIRED PROGRAM COMPLETION/EXIT APPLICATION

REQUIRED PROGRAM COMPLETION/EXIT APPLICATION

Program Information

Placement Information

If you are presently employed or if you have been employed since your enrollment at MTC, please complete the information below: (If not applicable to you, write NOT APPLICABLE)