Special Education Licensure Program Exit Questionnaire

Please take a minute to complete this exit questionnaire.

Now that you are soon completing Certification Central’s program, we need to collect information from you for accreditation. We is required to survey you and your employer one year after completing this program to see how things are going. This is why we are asking about your employment status. Further, we value your feedback about Certification Central’s program as a whole so we can continuously improve. Thank you in advance for completing this questionnaire!

Section1: Demographics

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Personal Phone Number *

Work Phone Number *

Personal Email *

Work Email *

Date of Birth *

Section 2: Employment Status

What is the name, address, and phone number of the school/educational setting where you are (or will be) working?

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Please provide the names and contract information of the administrators whom you will be working with at your school.

Building Principal

Name *

First

Last

Email *

Phone *

Special Education Coordinator/Director

Name *

First

Last

Email *

Phone *

Section 3: Program Improvement

What are the top 3 strengths of Certification Central’s program? *

What are 3 practical recommendations for making Certification Central’s program even better? *

Please take a minute to complete this exit questionnaire.

Section1: Demographics

Section 2: Employment Status

What is the name, address, and phone number of the school/educational setting where you are (or will be) working?

Please provide the names and contract information of the administrators whom you will be working with at your school.

Building Principal

Special Education Coordinator/Director

Section 3: Program Improvement

Thank you for completing this Exit Questionnaire.