BeyondKSD Contact Form

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Kearney School District is working to provide students K-12 with real world learning experiences. One goal is to have a database of contacts for opportunities that arise; these opportunities may be in the form of serving as a guest speaker/subject matter expert, providing job shadow opportunities, providing internship experiences, and partnering with students and/or classes to solve authentic real world problems (client connected projects). If you wish to partner with KSD on any of these activities or you would like to recommend someone to partner on these activities, please complete the form below.

While we desire business partners in all career paths, obtaining internships in the medical field is more challenging. If you know of anyone in the medical profession who would like to partner with KSD, please let me know (or share the form with them).

Thank you for helping to open real world learning experiences for students in the Kearney School District!

This referral is for *

Myself

Someone else

Name of RWL Partner: *

Email and/or Phone Number of RWL Partner: *

Job Title of RWL Partner *

I am willing to provide the following experiences (check those that apply): *

Guest Speaker

Job Shadow

Internship

Client-Connected Projects (providing authentic workplace problems for students to solve)

Other:

Required

I am willing to partner with the following schools: *

Elementary Schools (K-5)

Middle School (6th-7th)

Junior High (8th-9th)

High School (10th-12th)

All Schools/Grade Levels

Required

Comment(s)/Additional Information:

Please reach out to Stacy Holtzclaw at holtzclaws@ksdr1.net or (816) 628-4116, ext. 21811, with any questions.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Kearney School District.

Does this form look suspicious? Report

Forms