In what month and year was this degree or certificate awarded?
IF YOU COMPLETED MORE THAN ONE: Enter the date for the highest degree or certificate awarded

Month __ __ Year 19 __ __

1 [ ] Yes
2 [ ] No (SKIP to E1, page 14)

Month: ___ ___ Year: 19 ___ ___

c. What type of degree did you receive?
Mark (X) ONLY one

1 [ ] Bachelor's
2 [ ] Master's (includes MBA)
3 [ ] Doctorate (e.g., Ph.D., D.S.C., D.Sc., Ed.D)
4 [ ] Other professional degree (e.g., JD, LLB, ThD, MD, DDS, etc.) ? Specify ___________________________
91 [ ] Other ? Specify: ________________________________

In what month and year was this degree or certificate awarded?
IF YOU COMPLETED MORE THAN ONE: Enter the date for the highest degree or certificate awarded.

Month: ___ ___ Year: 19 ___ ___

Month ___ ___ Year 19 ___ ___

c. What type of degree did you receive?
MARK (X) ONE

1 [ ] Bachelor's
2 [ ] Master's (includes MBA)
3 [ ] Doctorate
4 [ ] Other professional degree (e.g., JD, LLB, ThD, MD, DDS, etc.)
5 [ ] Other (Specify):

|___|___| (Month) 19 |___|___| (Year)

19 |___|___| Year

Month ___ ___ Year 19 ___ ___