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CEANCI / BUSINESS PARTNERSHIP FORM

Business or Organization Name:

Personal Information

Business/
Courtesy Title: First Name: Last Name: Suffix:

Job/ Position:
Phone: Cell Phone: E-mail:
Street Address 1:
Street Address 2:
City: State: Zip Code:

Are you interested in providing any of these Which Programs of Study is your Organization
opportunities to students and/or teachers? or Business willing to support?
Please indicate yes next to any opportunity that you can support: Please indicate yes by to those you can support:

Job Shadow Automotive Technology


Paid Internships Certified Manufacturing Associate
Unpaid Internships Certified Nursing Assistant
Apprenticeships Cisco Networking
Tours or Field Trips Construction
Teacher Mentoring or Engineering (Project Lead the
Certification Way)
Serve on Occupational
Advisory Committee Graphic Communications
Career Speaker/Presenter JAVA Programing
Web Design
Welding Technology
SINESS PARTNERSHIP FORM

Personal Information

Which Programs of Study is your Organization

Please indicate yes by to those you can support:

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