Industry Champion Request Form
This form is for schools, colleges and careers & enterprise providers to request help from Industry Champions.  Once the form is submitted you will receive an acknowledgement of your request, clarification of requirements may be emailed and then the activity will be added to the Industry Champion newsletter.  You will be sent the contact information for any Industry Champions interested in helping at your event for you to finalise details directly with them.

If you have any questions please visit www.businessonsea.co.uk/industrychampions.aspx or contact Hyla Grimwade via email hylagrimwade@southend.gov.uk or telephone 01702 534253.
Sign in to Google to save your progress. Learn more
Email *
School, College or Provider Name *
Contact Name *
Contact Telephone Number *
Job Title *
Department
Date of Activity
MM
/
DD
/
YYYY
Time of Activity
Time
:
Type of Activity *
Required
Age range/Category of Activity Attendees
Number of Industry Champions Needed
Industry/Sector/Job Role preferences, if any
Description of Activity, to be included in the information sent to Industry Champions *
Any further information about the activity.  The more specific information you can give about the event, the more likely it is that appropriate Industry Champions can be found
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms