JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Millikan CTE Business Partnership Interest Survey
Thank you for showing an interest in becoming an Industry Business Partner. Millikan's CTE Department is excited to work with you. Please indicate below any and all ways that you may be interested in contributing to our program. If you are not interested in a specific area, simply leave it blank.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Your First Name
*
Your answer
Your Last Name
*
Your answer
Does your Child attend Millikan?
If so, please input their name (Last, First, Pathway and Grade)
Your answer
Your Company or Institution Name
*
Your answer
Your contact phone number
*
Your answer
Your contact number for text messaging
Your answer
Your contact email
*
Your answer
Your company's website
*
Your answer
Tell us about your Industry
*
Your answer
I would like to speak to students in a classroom or school event (booth, etc.).
Please indicate the days and times that you are generally available to speak with students, or write, " By Appointment".
Your answer
Students can come to your workplace (or virtual visits) for pre-arranged shadow days.
Please indicate the specifics.
Your answer
Students can intern at your workplace or virtually during the summer months.
Please indicate the specifics.
Your answer
I would like to discuss giving input to the staff about technology or programming skills that would benefit students in the workplace or in college, after high school. (Millikan SEGA Pathway)
Please indicate the specifics.
Your answer
I would like to discuss giving input to the staff about business and marketing skills that would benefit students in the workplace or in college, after high school. (MBA Pathway)
Please indicate the specifics.
Your answer
I would like to discuss giving input to the staff about legal skills or social justice experiences that would benefit students in the workplace or in college, after high school. (Peace Pathway)
Please indicate the specifics.
Your answer
I would like to discuss giving input to the staff about arts and performance skills that would benefit students in the workplace or in college, after high school. (Compass Pathway)
Please indicate the specifics.
Your answer
I would like to discuss donating funds, materials, programs, and/or opportunities to the students of Millikan in.
Please indicate the specifics.
Your answer
The following are the dates/times that I can be contacted for more specific planning.
*
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Long Beach Unified School District.
Report Abuse
Forms
