Partners in Education - Business & Organization Survey

1. Please provide the following contact information.

Please provide the following contact information. Name:
Company:
Address:
Address 2:
City/Town:
State:
ZIP/Postal Code:
Email Address:
Phone Number:

*
2. Please provide the following information about your business or organization:

Please provide the following information about your business or organization: Approx. # of employees
Type of business

*
3. Please check all ways in which you/your company or organization would like to be involved with a school as a Partner in Education.

Please check all ways in which you/your company or organization would like to be involved with a school as a Partner in Education. Tutoring students

Volunteering in school on regular (weekly or monthly) basis

Volunteering for special school functions

Conducting training workshops for teachers

Assisting students in preparing school publications

Helping with incentive awards for achievement and/or attendance

Providing internships and/or job shadowing opportunities

Sponsoring school clubs

Donating funds and/or equipment

Providing tours of local businesses for students

Sponsoring before and after school programs

Acting as a judge for a school event

Participating in career awareness events

Giving support in classrooms, libraries, etc.

Mentoring students in selection of higher education and/or career opportunities

Assisting in the Family Resource and/or Youth Service Center

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4. Please list other activities or areas in which you/your company or organization would like to provide help to your Partner school.

Please list other activities or areas in which you/your company or organization would like to provide help to your Partner school.

5. If you would like to request a specific school with which to Partner, please note your preference below.

	Schools
First Preference	If you would like to request a specific school with which to Partner, please note your preference below. First Preference Schools
Second Preference	Second Preference Schools
Third Preference	Third Preference Schools

6. If you do not have specific school preferences but would like to be Partnered with a certain age range, please note your preference below. (You may select more than one answer.)

If you do not have specific school preferences but would like to be Partnered with a certain age range, please note your preference below. (You may select more than one answer.) Elementary School (Pre-K to 5th grades)

Middle School (6th to 8th grades)

High School (9th to 12th grades)

7. You will receive regular communication about the Partners in Education program. In addition, would you be interested in periodically meeting with other businesses and organizations to discuss what they are doing with their partnering schools? If so, please note how often and what type of meeting below. (Leave blank if you do not desire to meet.)

	Frequency	Type
Meeting Preference	You will receive regular communication about the Partners in Education program. In addition, would you be interested in periodically meeting with other businesses and organizations to discuss what they are doing with their partnering schools? If so, please note how often and what type of meeting below. (Leave blank if you do not desire to meet.) Meeting Preference Frequency	Type

Other (please specify frequency and type of meeting)

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8. How would you like to be contacted regarding upcoming Partners in Education events and news. Check all that apply.

How would you like to be contacted regarding upcoming Partners in Education events and news. Check all that apply. Email

Phone

US Mail

9. What other comments or suggestions would you make for the Partners in Education program to be a success?

What other comments or suggestions would you make for the Partners in Education program to be a success?

*
10. Do you give your permission for us to share your comments with prospective school Partners in Education?

Do you give your permission for us to share your comments with prospective school Partners in Education? Yes

No

Partners in Education - Business & Organization Survey
Exit this survey

1. Default Section

1. Please provide the following contact information.

*
2. Please provide the following information about your business or organization:

*
3. Please check all ways in which you/your company or organization would like to be involved with a school as a Partner in Education.

*
4. Please list other activities or areas in which you/your company or organization would like to provide help to your Partner school.

5. If you would like to request a specific school with which to Partner, please note your preference below.

6. If you do not have specific school preferences but would like to be Partnered with a certain age range, please note your preference below. (You may select more than one answer.)

*
8. How would you like to be contacted regarding upcoming Partners in Education events and news. Check all that apply.

9. What other comments or suggestions would you make for the Partners in Education program to be a success?

*
10. Do you give your permission for us to share your comments with prospective school Partners in Education?

Partners in Education - Business & Organization SurveyExit this survey

1. Default Section

1. Please provide the following contact information.

*2. Please provide the following information about your business or organization:

*3. Please check all ways in which you/your company or organization would like to be involved with a school as a Partner in Education.

*4. Please list other activities or areas in which you/your company or organization would like to provide help to your Partner school.

5. If you would like to request a specific school with which to Partner, please note your preference below.

6. If you do not have specific school preferences but would like to be Partnered with a certain age range, please note your preference below. (You may select more than one answer.)

*8. How would you like to be contacted regarding upcoming Partners in Education events and news. Check all that apply.

9. What other comments or suggestions would you make for the Partners in Education program to be a success?

*10. Do you give your permission for us to share your comments with prospective school Partners in Education?

Partners in Education - Business & Organization Survey
Exit this survey

*
2. Please provide the following information about your business or organization:

*
3. Please check all ways in which you/your company or organization would like to be involved with a school as a Partner in Education.

*
4. Please list other activities or areas in which you/your company or organization would like to provide help to your Partner school.

*
8. How would you like to be contacted regarding upcoming Partners in Education events and news. Check all that apply.

*
10. Do you give your permission for us to share your comments with prospective school Partners in Education?