Industry Partnership Form
Business Contact Information
* Required
Partnering Company Name
*
This is a required question
What ISD Academies are most pertinent to your organization?
*
Select all that apply:
STEM (Medical, Engineering & Comp Sci)
Industrial Technology
Public Services
Arts and Education
Business
Freshman
This is a required question
We would like to partner with the following School(s):
Select all that apply:
Truman High School
William Chrisman High School
Van Horn High School
This is a required question
CEO/Director/GM Name:
*
This is a required question
Title:
*
This is a required question
Business Address:
*
This is a required question
City
*
This is a required question
State
*
This is a required question
Zip Code
*
This is a required question
Primary Contact Name:
*
This is a required question
Title:
*
This is a required question
Phone number:
*
This is a required question
Alternative Phone:
Office or cell
This is a required question
E-mail address:
*
This is a required question
Secondary Contact Name:
*
This is a required question
Title:
*
This is a required question
Phone number:
*
This is a required question
E-mail address:
*
This is a required question
Alternative Phone:
Office or cell
This is a required question
Engagement Levels
*
Select all in which you have interest:
CEO Champions
Industry Council
Advisory Panels
Guest Speakers
Host Job Shadows
Internships
Host Externships (for teachers)
Career Expo in October
Academy Jamboree (Jan. @ all 3 HS's)
Senior/Capstone mentor
Host Intentional Field trips (sophomores)
Other:
This is a required question
Expectations of an Academy Business Partner
- Commit to work together for at least one school year. - Identify a partnership coordinator who will serve as the primary contact for the school. - Support the goals of the Academy in at least one activity per school year. - Report the time your organization spends on the partnership
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