Engagement Survey

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

Engagement Survey

Thank you for your interest in partnering with Utah Adopt-A-School!

As you complete your engagement survey, consider what resources your business is looking to contribute to Utah schools and your company goals for community engagement. Based on your response to this survey you will be matched and connected with school(s) who are ready to partner with your organization.

A designated liaison best drives partnerships to lead program efforts. As you consider the time and resources you're able to offer, identify and include the contact information of your company liaison in your engagement survey.

Once matched, Talent Ready Utah will connect your designated liaison with Utah's schools and support meaningful, results-driven partnerships.

If you need any assistance, please direct questions to rackley@utah.gov.

Email *

Your Name *

Your Phone Number *

Company Name *

Company Address *

If you already have a school in mind who you'd like to partner with, please let us know and we'll help you get connected. You can explore schools ready to be adopted by visiting https://business.utah.gov/adopt-a-school/engage/.

In what ways would you like to contribute to student success and learning? Describe your company goals. *

What student and school needs are you interested in addressing through your partnership with education? Select all that apply. *

Education Barriers, ie. transportation, language barriers, internet access, etc.

Basic Needs, ie. food, shelter, clothing, basic healthcare, school supplies, etc.

Career Readiness & Work-Based Learning, ie. opportunities for classroom engagements, field trips, internships, project-based learning, tutoring, mentoring, etc.

Infrastructure, ie. teacher retention, classroom equipment, beautification projects, land donations, ect.

Other:

Required

What is the earliest date your company is available to support & engage with your education partners? *

YYYY

What time commitment is your company available to support? *

One time

On-going

Quarterly

Bi-annually

Annually

Other:

Required

Have you reviewed your requirements as a business partner under 53G-11-402 regarding student safety and background checks? Please reference resources found on https://business.dev.utah.gov/adopt-a-school/resources/ for safety requirements. *

Yes

Adopt-A-School is interested in learning about your community partnerships and programs. Please let us know if you'd be willing to share case studies, templates or blue prints to inspire and guide others in developing impactful community partnerships.

Please tell us who the designated liaison will be for your company. Please include liaison name and title. *

Liaison Phone Number *

Liaison Email *

Additional comments

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of State of Utah. Report Abuse

Forms