2009 Project Business Partner Registration Form


All fields are marked with * are required.

Name of Business:*
 

Indicate type of business:*


  
Street Address:*
 

City:*
 

State:*		 
Zip Code:*
   

County:*
 

Contact Name:*
 

Email Address:*
 
 
Company/Agency/Organization's Website Address:

Work Phone:*
 

Fax:

Company/Agency/Organization's Primary Product or Service*
 

Start Date:*
(MM/DD/YY)		 
End Date:*
(MM/DD/YY)
   
 
Will employment include a stipend or pay rate?*

  
If yes, indicate Amount:
(numeric only)

Deadline for Applications to be submitted:*
(MM/DD/YY)
 
 
QUALIFICATIONS AND/OR DEGREE REQUIREMENTS:*
List the minimum qualifications and/or degree requirements for this position.
(Max. characters 255)
 

JOB DESCRIPTION:*
Describe the teacher's daily duties/tasks and responsibilities. If the teacher will be working on a project, give details as to what the teacher will be responsible for doing during this project. (Max. characters 255)
 

The Sc: iii project, administered by the Panhandle Area Educational Consortium, was a professional opportunity/learning experience for science teachers - not just summer employment. To sustain the momentum resulting from the Sc:iii project, an invitation is extended to potential business partners. By participating, the project partner agrees to provide a meaningful professional experience for a teacher, as well as follow-up support during the following school year, in the form of a teleconference, guest speaker, or field trip, etc. This is to ensure that the knowledge and skills learned by the teacher, while on the job, are supported in the classroom.