Inquiry Survey for the Watertown Graduate Programs

Which program are you considering?:

ICT/Organizational Leadership

Early Childhood (Grades 1-6)

Curriculum and Instruction

Literarcy Specialist

Literacy Educator

How did you hear about this program?:

Newspaper ads

Press release in local papers

SUNY Potsdam Website

Other web sites

Flyers or posters

From a colleague friend or relative

Other

Where is your current local home residence:

If employed, what type of work are you employed in?:

Are you employed?:

Full-time

Part-time

Unemployed

What is your current position or job title?:

What would be your primary purpose for seeking this degree?:

To improve my skills and marketability with my current employer

Planning to change careers and/or employer

Other

When do you plan to begin this degree?:

Summer 2012

Fall 2012

Spring 2013

Summer 2013

Undecided

Are you considering other colleges/universities for your Master's Degree?:

Yes

No

Would you like for us to send you an application at this time?:

Yes

Not at this time

What additional questions do you have?:

If you would like us to contact you, please provide the following information: Your Name:

Evening Phone Number:

E-mail Address:

Mailing Address: