MANUFACTURING SHOWCASE DAY

Open to students
from these
regions

Portland Public Schools

East Multnomah County

Clackamas County

Washington County

Date/Time

Friday, February 10, 2017 from 8:30 1:30 pm

Location

Clackamas Community College McLoughlin Hall Theater

Eligibility

Open to students in 10th, 11th, or 12th grade

Number of
slots available

60 slots total; 18 slots per region

Unused slots will be opened to all students after Friday, January 20, 2017

To Apply

Complete the application (must include student, parent/guardian and school

contact signatures)
Scan/email or fax completed application to the Tri-County STW Consortium
Volunteer for your region:
Region
Email
Fax

Clark County

Clackamas County Schools

sdorn@clackesd.k12.or.us
503-675-4252
East Multnomah County Schools
elizabeth_bluhm@ddsd40.org
4456
Portland Public Schools
careerpath@pps.net
916-2608
Washington County Schools
lisak@hillchamber.org
0535

503-262503503-681-

Application window
opens

Open now

Application window
closes

Tuesday, February 7th, 2017 at 5:00 pm

Notification

School contacts will receive a participant roster via email on or before Wednesday,
February 8th, 2017
School contacts will notify accepted students and confirm their participation and
travel plan.
No charge to participate in this event

Cost
Transportatio
n
Meals
What to wear
Cancellation
Policy
Other

Who to

Students are responsible for their own transportation to and from Clackamas
Community College.
Plan your trip at http://www.trimet.org.
Pizza lunch will be provided.
Dress is business casual. Closed toed shoes are required. Please NO shorts, sweat
pants, crop tops, caps/hats, t-shirts with objectionable logos/graphics or gum.
If a situation occurs where the student is not able to participate, s/he must notify
their school contact as soon as possible. Under no circumstances should the
student or school attempt to find a last minute replacement. Only pre-registered
students will be allowed to participate
Students are not allowed to leave the premises.
Students are expected to fully participate in activities and show respect for CCC
Services staff, school personnel and other students.
Students should direct questions to their School Contact.

contact if you
have
questions

School Contacts should direct questions to: Liz Bluhm, Email:

elizabeth_bluhm@ddsd40.org

503 261-8339.

Tri-County School-toWork Consortium

Tri-County School-to-Work
Consortium

APPLICATION
Manufacturing Showcase Day

Friday, February 10, 2017 | 8:30 am 1:30 pm

STUDENT AGREEMENT / PARENT PERMISSION
By signing below the student and parent/guardian acknowledge the following:
The student will attend and participate fully in the entire program.
The student will not be allowed to leave early; attendance will be taken periodically during the
program.
The student will conduct him/herself appropriately as a representative of his/her school.
The student will dress appropriately for the event. Dress is business casual. Closed toed shoes are
required. Please NO shorts, sweat pants, crop tops, caps/hats, t-shirts with objectionable
logos/graphics or gum.
The parent/guardian gives permission for the students picture to be taken at the event.
The parent/guardian gives permission for the students name to be included on the participant roster
that will be distributed to school contacts.
CCC has no liability for this activity. Each participant is responsible for his/her own safety and agrees
not to look to CCC or other involved parties with regard to liability for any claims related to
participation in Manufacturing Career Day activities.

STUDENT INFORMATION
Submit the signed application to the contact for your region (below) on or before Tuesday,
February 7th, 2017 at 5:00pm.
You will be notified by your school contact if you are accepted to participate.
Student Name (Print)

School

Grade: 10 11 12
Email

Cell Phone

Student Signature

Date

PARENT/GUARDIAN PERMISSION
Parent/Guardian Name (Print)

Day Phone

Alternate Emergency Contact Name

Day Phone

Parent / Guardian Signature

Date

SCHOOL CONTACT ENDORSEMENT

The school contact will notify accepted students and confirm their participation and travel plans.
School Contact Name (Print)

Job Title

Email

Phone

School Contact Signature

Date

Region
Email
Fax
Clackamas County Schools
sdorn@clackesd.k12.or.us
503 675-4252
Countyto
Schools
elizabeth_bluhm@ddsd40.org
503-261-8339
EmailEast
or Multnomah
fax this form
the Tri-County
School to Work Consortium
Volunteer for
Portland Public Schools
careerpath@pps.net
503-916-2795
region:
Washington County Schools
lisak@hillchamber.org
503-681-0535
Clark County Schools
jlemarte@esd.wa.gov
360-735-5060

your