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