Question Title

* 1. Business Name:

Question Title

* 2. Industry Represented:
(check all that apply)

Question Title

* 3. Business Partner Contact Name:

Question Title

* 4. Address:
(including city and zipcode)

Question Title

* 5. Business Phone Number:
(including area code)

Question Title

* 6. Additional Contact Phone Number:

Question Title

* 7. Email address:

Question Title

* 8. Business Website:

Question Title

* 9. I am a:

Question Title

* 10. My business and/or employees are willing to:
(check all that apply)

Question Title

* 11. What are your goals for working with the Academies of Clay and Clay County's Career and Technical Education students?

Question Title

* 12. Do you have a particular school, age group, or geographic area you are interested in working with?
(check all that apply)

Question Title

* 13. Please use the space below to address any questions you have concerning the Academies of Clay or Career and Technical Education:

Question Title

* 14. As a employer, what do you feel are the most critical skills and abilities students possess upon graduation from high school:

Thank you for your interest in preparing Clay County's students for college and careers. School District representatives will contact you to provide additional information. If you have questions or concerns, please contact the Career and Technical Education Department at 904-284-6574.

T