Indiana County Polytechnic Career Awareness Event
Wednesday, October 11, 2017
Blairsville High School 6:00 PM

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* 1. Registration

Name

School District or CTC

Email Address

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* 2. Please indicate your status. Are you a:

Parent

Educator

Student

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* 3. If you are an educator and would like to receive Act 48 Credits, please provide your PPID number.
Thank you.

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* 4. If you are a parent or student, will there be anyone else attending with you? (check as many boxes as needed)

Your Spouse/Partner

High School aged child/ren

Middle School aged child/ren

Other child/ren

No one else will be attending with me

Please list the names of any other adults or students who will be attending.
Please note: only list the name of high school aged children attending and their grade.

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* 5. How did you hear about this event?

From my child's High School/CTC

Chamber

Radio

Newspaper

Directly from The Challenge Program, Inc. Representative

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* 6. Are there any questions you would like to be addressed at this event?

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* 7. How easy was the registration process for this event?

Extremely easy

Quite easy

Moderately easy

Slightly easy

Not at all easy

Question Title

* 1. Registration

Question Title

* 2. Please indicate your status. Are you a:

Question Title

* 3. If you are an educator and would like to receive Act 48 Credits, please provide your PPID number.Thank you.

Question Title

* 4. If you are a parent or student, will there be anyone else attending with you? (check as many boxes as needed)

Question Title

* 5. How did you hear about this event?

Question Title

* 6. Are there any questions you would like to be addressed at this event?

Question Title

* 7. How easy was the registration process for this event?

* 3. If you are an educator and would like to receive Act 48 Credits, please provide your PPID number.
Thank you.