WSCM 24-25 "What's So Cool About Manufacturing?" Manufacturer Registration Form

Authorized Consent Form

Thank you for your support of the "What's So Cool About Manufacturing?" (WSCM) manufacturing career exploration program and video contest.

Questions: Contact Cindi Moses at cindi@mantec.org

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* 1. By submitting this form, you agree to complete the following activities:

·         Assign a company representative as your What’s So Cool Champion
· Complete any required waivers and ensure student safety
· Meet with & support your student team in learning about your business
·         Provide access to 3-6 employees to be interviewed in their work setting
·         Review final video prior to online voting
·         Help promote your team’s video for online voting
·         Participate in person at the Awards Event(s) to support your team

Yes, we agree to complete the activities listed above

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* 2. Company Info:

Company Name:

Champion's Name:

Champion's Email:

Champion's Title:

Champion's Phone:

Secondary Contact's Name:

Secondary Contact's Email:

Secondary Contact's Title:

Secondary Contact's Phone:

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* 3. Please indicate your primary NAICS classification from the dropdown menu:

Other (please specify)

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* 4. Has your business participated in this contest before?

Yes

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* 5. If possible, would you like to be matched with a particular school?

Yes

Doesn't matter

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* 6. If you are a new participant, do you have a school with which you would like to be matched if possible?

If Yes, please provide the school's name:

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* 7. Indicate the county/counties where you have a facility that students could visit and film:

Adams

Cumberland

Dauphin

Franklin

Fulton

Lancaster

Lebanon

Perry

York

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* 8. What is the maximum number of people (students and teachers) you can accommodate at one time at your facility?

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* 9. Is there any other information that needs to be considered when matching a school with your business?

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* 10. Do you have any restrictions on plant/facility tours?

No restrictions for any visitors

Age restrictions

Department/location restrictions

We cannot offer facility tours (if you cannot offer tours but want to participate, please indicate in the Comments section at the end of this survey how you plan to accommodate students).

WSCM 24-25 "What's So Cool About Manufacturing?" Manufacturer Registration Form

Authorized Consent Form

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* 2. Company Info:

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* 3. Please indicate your primary NAICS classification from the dropdown menu:

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* 4. Has your business participated in this contest before?

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* 5. If possible, would you like to be matched with a particular school?

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* 6. If you are a new participant, do you have a school with which you would like to be matched if possible?

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* 7. Indicate the county/counties where you have a facility that students could visit and film:

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* 8. What is the maximum number of people (students and teachers) you can accommodate at one time at your facility?

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* 9. Is there any other information that needs to be considered when matching a school with your business?

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* 10. Do you have any restrictions on plant/facility tours?

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* 11. Comments: