Business Contact Form
Yes, I am interested in learning more about Surry-Yadkin Works and how this can benefit my business!
Sign in to Google to save your progress. Learn more
Email *
Business Name *
Business Address *
Business Point of Contact *
Point of Contact Position/Job Title *
Point of Contact Phone Number *
Point of Contact Email *
What does your business do/produce/manufacture? *
What job(s) can students complete an internship at your business? *
Are you interested in learning more about the state apprenticeship program? This program will pay for related training and coursework for students at no cost to the employer. *
Are there specific days/times you are NOT available to meet to discuss Surry-Yadkin Works?
Comments &/or questions
Thank you!
A representative from Surry-Yadkin Works will contact you soon to schedule a meeting to learn more about your business and design a work-based internship based on your needs.  For more information and contact information, please visit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy