Dream It. Do It. Vermont Student & Parent Engagement

Thank you for taking a few moments to complete this form. This will help us keep you up to date on new developments with Dream It. Do It. Vermont, get important feedback from you, and help us develop new ideas for tools and services.

We hope you can be as complete as possible -- all information will be kept strictly confidential unless you explicitly agree to share it.

If you have any questions, please do not hesitate to contact William Driscoll at info@manufacturingrenewal.org.

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* Contact Information (please be complete)

Name: *

Address

City/Town:

State:

ZIP:

Email Address: *

Phone Number:

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* Are you a student, parent, or other relation to a student?

Student

Parent

Other (please specify below)

...

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* If you are a student, in what grade and school are you? If you are a parent or other relation, in what grades and schools are students in your family?

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* Do you believe that manufacturing is a rewarding and fulfilling career that you would like for yourself (or for a student in your family if you are a parent or other relation)?

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Additional comments

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* Do you believe that your school, college, or other educational institution does a good job in preparing students for careers in manufacturing?

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Additional comments

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* Does anyone in your family work in manufacturing?

Yes

Tell us more if you wish

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* Please let us know whether or not your school, college, or other educational institution interacts with any local manufacturers in any of the following activities, and whether or not you would be interested in more information or assistance in encouraging such activities. Please check all boxes that apply. We will follow up with you for more details as warranted.

	Yes	No	Don't Know	Interested	Not Interested
Academic/Skills Fairs	Academic/Skills Fairs Yes	Academic/Skills Fairs No	Academic/Skills Fairs Don't Know	Academic/Skills Fairs Interested	Academic/Skills Fairs Not Interested
Career Fairs	Career Fairs Yes	Career Fairs No	Career Fairs Don't Know	Career Fairs Interested	Career Fairs Not Interested
Classroom Presentations	Classroom Presentations Yes	Classroom Presentations No	Classroom Presentations Don't Know	Classroom Presentations Interested	Classroom Presentations Not Interested
Site Tours	Site Tours Yes	Site Tours No	Site Tours Don't Know	Site Tours Interested	Site Tours Not Interested
Internships	Internships Yes	Internships No	Internships Don't Know	Internships Interested	Internships Not Interested
Apprenticeships	Apprenticeships Yes	Apprenticeships No	Apprenticeships Don't Know	Apprenticeships Interested	Apprenticeships Not Interested
Job Shadowing	Job Shadowing Yes	Job Shadowing No	Job Shadowing Don't Know	Job Shadowing Interested	Job Shadowing Not Interested
Scholarships	Scholarships Yes	Scholarships No	Scholarships Don't Know	Scholarships Interested	Scholarships Not Interested
Input on Curriculum	Input on Curriculum Yes	Input on Curriculum No	Input on Curriculum Don't Know	Input on Curriculum Interested	Input on Curriculum Not Interested
Input on Guidance Counseling	Input on Guidance Counseling Yes	Input on Guidance Counseling No	Input on Guidance Counseling Don't Know	Input on Guidance Counseling Interested	Input on Guidance Counseling Not Interested
Providing Experience for Course Credit	Providing Experience for Course Credit Yes	Providing Experience for Course Credit No	Providing Experience for Course Credit Don't Know	Providing Experience for Course Credit Interested	Providing Experience for Course Credit Not Interested
Job Placement	Job Placement Yes	Job Placement No	Job Placement Don't Know	Job Placement Interested	Job Placement Not Interested
Education/Training for Employees	Education/Training for Employees Yes	Education/Training for Employees No	Education/Training for Employees Don't Know	Education/Training for Employees Interested	Education/Training for Employees Not Interested

Other (please specify)

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* In addition to the above, below are some programs and services under development. Please let us know if you might be interested in any of these, and and we encourage you to add your own suggestions.

	Interested	Not Interested
Profile Information about Vermont Manufacturers	Profile Information about Vermont Manufacturers Interested	Profile Information about Vermont Manufacturers Not Interested
Profile Information about Vermont Manufacturing Employees	Profile Information about Vermont Manufacturing Employees Interested	Profile Information about Vermont Manufacturing Employees Not Interested
Resume Posting	Resume Posting Interested	Resume Posting Not Interested
Job Opening Posting	Job Opening Posting Interested	Job Opening Posting Not Interested
Curriculum Development/Advice from Manufacturers	Curriculum Development/Advice from Manufacturers Interested	Curriculum Development/Advice from Manufacturers Not Interested

Other (please specify)

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* If you think anyone else in your family might be interested in more information about Dream It. Do It. Vermont and our programs and services, please feel free to send them this form or provide their contact information (name, email) below.

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* Contact Information (please be complete)

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* Are you a student, parent, or other relation to a student?

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* If you are a student, in what grade and school are you? If you are a parent or other relation, in what grades and schools are students in your family?

Question Title

* Do you believe that manufacturing is a rewarding and fulfilling career that you would like for yourself (or for a student in your family if you are a parent or other relation)?

Question Title

* Do you believe that your school, college, or other educational institution does a good job in preparing students for careers in manufacturing?

Question Title

* Does anyone in your family work in manufacturing?

Question Title

Question Title

* In addition to the above, below are some programs and services under development. Please let us know if you might be interested in any of these, and and we encourage you to add your own suggestions.

Question Title

* If you think anyone else in your family might be interested in more information about Dream It. Do It. Vermont and our programs and services, please feel free to send them this form or provide their contact information (name, email) below.

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* Thank you very much for completing this form. Below, please feel free to ask any questions or make any suggestions you would like us to address.