Manufacturer Participation Form
Make It In Union County
Name
*
Company
*
Email Address
*
Phone
*
Which Make It In Union County activity are you interested in? (Check all that apply)
*
Guest Speaking in Classroom
Class Field Trips
Open House Tours
Are you the employee who will be the Guest Speaker?
*
Yes
No
Guest Speakers
Guest Speaker Name
*
Guest Speaker Company
*
Guest Speaker Email Address
*
Guest Speaker Phone
*
How many days would your organization like to send guest speakers into the schools?
*
Please share what grade level and type of class you would like to speak to.
*
What time of day would work best for the guest speaker to present in the schools?
*
Morning
Afternoon
Guest Speaker Preferences
How many days would your organization like to send guest speakers into the schools?
*
Please share what grade level and type of class you would like to speak to.
*
What time of day would work best for the guest speaker to present in the schools?
*
Morning
Afternoon
Are you the contact for Field Trips at your location?
*
Yes
No
Field Trips
Field Trip Name
*
Field Trip Company
*
Field Trip Email Address
*
Field Trip Phone
*
Are you the contact for Open Houses at your location?
*
Yes
No
Open House
Open House Name
*
Open House Company
*
Open House Email Address
*
Open House Phone
*
Submit
