Exit this survey FSHS 2015-2016 Operation Preparation Registration Thank you for your interest in helping us with OPERATION PREPARATION! This form will assist us matching students with our volunteer advisors. Please complete all parts of the survey to ensure we have accurate and complete information. Volunteers are encouraged to attend a 30 minute on-site training, and abide by all school and Board of Education policies. Question Title * 1. Please provide your Demographic Information. Name: * Company: Address: * Address 2: City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Email Address: * Phone Number: * Question Title * 2. Please list your current occupation followed by any other occupations in which you have experience and expertise. Question Title * 3. Please specify the dates you will advise during the week of February 2nd - 5th during the school day (8 AM - 3 PM). If you mark the days you're available ie: Tuesday, Wednesday, Thursday, and Friday we will schedule you for all four days. Please be specific. Tuesday, February 2nd Wednesday, February 3rd Thursday, February 4th Friday, February 5th Question Title * 4. Please specify the times you will advise. If you mark the times you're available ie: 9am-1pm, we will schedule you for eight sessions in four hours. Please be specific. 8:30 - 9:00 9:00 - 9:30 9:30 - 10:00 10:00 - 10:30 10:30 - 11:00 11:00 - 11:30 11:30 - 12:00 12:00 - 12:30 12:30 - 1:00 1:00 - 1:30 1:30 - 2:00 2:00 - 2:30 Other (please specify) Question Title * 5. Please specify your area(s) of expertise so we can match you with our students and their interests. Agriculture Arts and Humanities Business Education Marketing Education Communications Education Health Sciences Information Technology Manufacturing Public Services Sciences and Mathematics Social Sciences Transportation Construction - electrical, plumbing... Human Services - social work, childcare... OTHER If "OTHER", please specify Volunteers are encouraged to attend a 30 minute training session at the Simpson County Schools District office (430 S. College St.). If anyone has questions or needs information, call Robin Hollingsworth at 270-586-3809 or email robin.hollingsworth@simpson.kyschools.us Done