WMU Alumni Profile & Career Tracking Questionnaire

Section A. Basic Identification Information
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1.Full Name (as per passport or official records)
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2.Chinese Name (if applicable)
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3.Gender
Male
Female
Others
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4.Date of Birth (MM/DD/YY)
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5.Nationality
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6.Current Country of Residence
Section B. Contact Information
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7.Primary Email Address
8.Secondary Email Address(if you have one)
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9.Current Contact Number (with country code)
Section C. Professional Status & Career Development
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10.Current Employment Status
Employed full-time
Employed part-time
Self-employed
In training/residency/fellowship
Academic/Research position
Currently not employed
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11.Current Professional Role / Title:
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12.Primary Field of Work (Multiple choice: select all that apply)【多选题】
Clinical practice
Academic teaching
Research
Public health
Pharmaceutical / Industry
Healthcare administration
Other (please specify):
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13.Current Institution / Organization
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14.Country of Current Employment
Section D. Licensure, Registration & Training
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15.Are you currently registered with a medical or professional council?
Yes
No
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16.Name of Licensing Authority / Council (Please specify)
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17.Country of Registration
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18.Have you completed an internship/residency training?
Yes
No
In progress
Section E. Attend Status
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19.Will you be able to attend the alumni forum that will be held on May 30th, 2026?
Yes
No
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