Nama Atasan (Superior Name)
Jabatan (Position)
Nama Instansi (Company Name)
Jenis Lembaga/Perusahaan (Kind of Unit or Company)
Provinsi (Province)
Kabupaten/Kota (Districts or City)
Kecamatan (Sub-districts)
Jalan/Desa (street or Village)
Alamat Lengkap (Complete Address)
No. Telepon dan Handphone (Contact Person)
E-mail
Nama Pegawai - satu nama satu kuesioner (Staff Name by name by adress)
Tahun Lulus (Graduation Year)
Tahun Terdaftar di Institusi/Perusahaan/Tempat Kerja Bapak Ibu (Year Registered at your institution/company/workplace)
Masa Kerja (How Long have Unusa Graduate Been Working in your Institution or Company)
Tahun (Year)
Bulan (Month)
Bidang Pekerjaan/ Divisi/ Bagian (Work Sector/Division/Department)
Menempati Jabatan apa alumni Unusa (What positions do Unusa alumni)
Asal Program Studi (Study Program)
Jenjang (Level)
Menurut Saudara, seberapa baik kemampuan lulusan dalam bidang berikut ini : (According to you, how good the graduate`s ability in this field)
Berapa Jumlah Alumni Unusa yang bekerja di Instansi Saudara sampai saat ini? (How Many Unusa Graduates that is working in your institusion)
Apakah anda puas dengan kualitas lulusan UNUSA? (Are you satisfied with the quality of UNUSA graduates?)
Saran dan Rekomendasi untuk Universitas Nahdlatul Ulama Surabaya (Suggestions and Recommendations for Universitas Nahdlatul Ulama Surabaya)