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University of the Philippines Manila

The Health Sciences Center


COLLEGE OF NURSING
Sotejo Hall, Pedro Gil St., Ermita, Manila
Tel.: (632)523-1472 / Telefax: (632)523-1485

June 20, 2009

Dear Alumni,

Greetings from the UPCN family!

Throughout the years of the UPCN producing quality nurses and nurse leaders, we have
been at the forefront of service to our patients whether in the hospitals or in the
communities, and to our fellow nurses through key organizations both locally and
internationally.

In the past, the evidence of our service to our fellow Filipinos has been the target of
question in terms of our graduates making our services felt in our shores. In line with
this, the UP College of Nursing would like to further strengthen the evidence of our
commitment to serving the Filipino and our profession by establishing a database of our
graduates and their practice through a survey.

Attached is a copy of a survey form requesting for your personal data and hopefully,
some data from your classmates. We recognize that it may be difficult to recall exactly
the information we are requesting but, we encourage you to make an estimate for the
time being and at the same time furnish us with more concrete data when you are able to
get more specific data from as many of your classmates in the soonest possible time.

May we also request you to help us update the data/information of your other
classmates. We can also this form to them. Just supply us their emails or contact us at
the UPCN Alumni Office, Sotejo Hall, UP Manila Compound, Pedro Gil Street, Ermita,
Manila or through the Alumni Relations Officer (Jenniffer T. Paguio, UPCN 2003 @
0917-890831/jtpaguio@post.upm.edu.ph).

We thank you in advance.

Ms. Jennifer Paguio


UPCN Instructor
Alumni Relations Officer

Dean Josefina A. Tuazon


UP College of Nursing Alumni Survey
(As of June 20, 2009)

Degree and Class : ___________


Name : ___________________________________________________________________
First Name Maiden Name Married Name

Permanent Address: (include zip code)


_____________________________________________________________________________
_____________________________________________________________________________
__
Office Address (If any):
_____________________________________________________________________________
_____________________________________________________________________________
__
Contact Details:
• Telephone Number/s: Home __________________ Office: __________________
• Mobile Number/s: ___________________________
• E-Mail Address: ___________________________
Service History:
1. Have you worked in the Philippines? Yes No
If Yes, please indicate the following:
a. In PGH? Yes No. of Years: _____ (Period: _______ - _______)
Position/s held: ________________________
No
b. In other institution/s: (Please specify the number of years served and the period)
__________________________________________________________
__________________________________________________________
__________________________________________________________
2. Have you worked/ migrated abroad? Yes No
If Yes, please indicate the following:
a. What year did you leave for abroad? __________
b. What country/institution/position?
__________________________________________________________
__________________________________________________________
__________________________________________________________
Class Data:
1. Are you in touch with most of your classmates? Yes No
2. On the average, how many of your classmates are:
a. Currently residing/working in the Philippines? ________
b. Currently working in PGH?__________ Have served in PGH? ________
c. Currently serving in the Public Health sector? ________
d. Currently residing/working abroad? ________
i. Average no. of years after graduation did they leave? ________

THANK YOU!

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