JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
High School District 214 Business & Education Partnerships
Industry Partner Interest Form:
Please complete this brief form if you would like to be considered as a possible site for hosting a District 214 Student.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Organization Name
*
Your answer
Your Last Name
*
Your answer
Your First Name
*
Your answer
Your Title
*
Your answer
Your Email Address
*
Your answer
Your Phone Number
*
Your answer
Company Street Address
*
Your answer
City
*
Your answer
State
*
Illinois
Zip Code
*
Your answer
Career areas within your organization
*
This can include any departments/divisions that may be able to host a student. Please see our Career Pathways Handbook for more information [
http://www.d214.org/assets/1/6/D214CareerPathwaysBooklet-0915_online.pdf
].
Agriculture, Food, & Natural Resources [
https://goo.gl/dM7Pbu
]
Architecture & Construction [
https://goo.gl/pYwoIu
]
Arts, AV Technology, & Communications [
https://goo.gl/XRBM3O
]
Business Management & Administration [
https://goo.gl/rjeOoL
]
Education & Training [
https://goo.gl/EfJMtY
]
Finance [
https://goo.gl/JaCFPi
]
Government & Public Administration [
https://goo.gl/w18P7e
]
Health Science [
https://goo.gl/NmNs15
]
Hospitality & Tourism [
https://goo.gl/wUIfMS
]
Human Services [
https://goo.gl/Xpg6pn
]
Information Technology [
https://goo.gl/3aufQY
]
Law, Public Safety, Corrections, & Security [
https://goo.gl/TM6lDg
]
Manufacturing [
https://goo.gl/IZU8A7
]
Marketing [
https://goo.gl/VEYW1S
]
Science, Technology, Engineering, & Mathematics [
https://goo.gl/yRz2N6
]
Transportation, Distribution, & Logistics [
https://goo.gl/vSm3r6
]
Required
Time of Day
*
Times where you or designee can supervise the intern.
Weekday Early Morning (Before 7 am)
Weekday Afternoon (1 pm - 3 pm)
Weekday Evening (3 pm - 8 pm)
Weekend Morning
Weekend Afternoon
Weekend Evening
Required
Available Semester(s)
*
Fall (September-December)
Spring (February-May)
Summer (June-July)
Required
Additional details regarding availability
Your answer
Levels of Involvement that interest you:
Facility Tours/Career Trek (Host a group of students and teachers that have an interest in a particular career area.)
Classroom Presentations (Present to students that are taking an industry related class.)
Career Days (Usually a 2-3 hour block of time during the day in which industry partners present to students interested in a particular career field.)
Career Nights (Usually a 2-3 hour block of time during the evening in which industry partners present to students and their parents that have an interest in a particular career field.)
Work Based Learning (Host and mentor a student that is learning career related activities and duties, usually with guidance from a D214 staff member).
Micro Internship (Host and supervise a student for about 1-4 week period of time, usually a school break, requiring 10-20/week commitment.
Traditional Internship (Host and supervise a student for a semester, requiring a 5-20 hour/week commitment.)
Other:
Additional Information/Questions/Concerns/Etc.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Township High School District 214.
Report Abuse
Forms
