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Teacher Industry-STEM Pro Connect Request

Industry-STEM Pro Connect Request

Welcome to Industry-STEM Pro Connect!

Please complete this survey to best match your needs with our database of Industry-STEM Professional volunteers!

Note: Most Industry-STEM Professionals prefer to video conference with classrooms to ease travel time commitment. Our office can provide suggestions for process and technology equipment to facilitate videoconferencing professionals into classrooms.
1.Name (First, Last)(Required.)
2.Phone Number(Required.)
3.Email Address(Required.)
4.Name of School:(Required.)
5.Grade Level(s) you teach:(Required.)
6.Preferred Support from Industry-STEM Professionals: (Check all that apply)(Required.)
7.How would you like to engage with the Industry-STEM Professional via Videoconferencing? (County Office can assist in planning for this mode) (Check all that apply)(Required.)
8.How would you like to engage with Industry-STEM Professionals via In-Person?  (Check all that apply)(Required.)
9.Please describe your intended objectives/outcomes for the Industry-STEM Pro Connection(Required.)
10.Please provide 2-3 proposed dates and times frames for the Industry-STEM Pro Connect engagement.  (Please allow up to 4 weeks planning time)(Required.)