Principal For A Day - Executive Application
Thank you for your interest in PENCIL's Principal For A Day on April 16th! Our team is working hard to match all interested executives. Unfortunately, we cannot guarantee all executives a Principal for A Day match. Please complete all fields in this application form and someone from PENCIL's team will reach out to you shortly to discuss your participation.

If you have any questions, please do not hesitate to reach out to PENCIL's Associate Director of Corporate and Foundation Relations, Nakia Alston-Hendrickson at nalston-hendrickson@pencil.org.

First Name *
Your answer
Last Name *
Your answer
E-mail Address *
Your answer
Phone Number *
Your answer
Mailing Address
Street *
Your answer
Apt#
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Is this your work or personal address? *
Company Information
Company *
Your answer
Title *
Your answer
Industry
Assistant Information
First Name
Your answer
Last Name
Your answer
E-mail Address
Your answer
Matching Criteria
Have you participated in a PENCIL program before? *
If yes, which school(s) have you partnered with through PENCIL?
Your answer
Did you go to a NYC public school? *
If yes, which school(s)?
Your answer
What boroughs are you interested in traveling to for Principal For A Day? *
Not Interested
Somewhat Interested
Very Interested
Brooklyn
Manhattan
Staten Island
The Bronx
Queens
What grade level(s) are you interested in visiting for Principal For A Day? *
Not interested
Somewhat interested
Very Interested
Elementary School (K-5)
Middle School (6-8)
High School (9-12)
What time(s) are you available on April 16th? *
Required
Which of the following activities would you be most interested in participating in as Principal For A Day?
Any additional information we should know for matching purposes?
Your answer
Additional Information
Please share a link to your LinkedIn or professional bio.
Your answer
How did you hear about Principal For A Day?
Nomination
PENCIL is always looking to connect more students to success. Please nominate a peer that you think might be interest in participating in this year's Principal For A Day.
First Name
Your answer
Last Name
Your answer
Company
Your answer
Title
Your answer
E-mail Address
Your answer
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