PEB Volunteer Interest Form

First Name(Required)

Last Name(Required)

Company Name(Required)

Job Title(Required)

Email Address(Required)

Where did you graduate high school?

Phone Number(Required)

Please specify if office or cell phone.

Optional: Tell us a little about your role within the company.

What engagement opportunities are you or your company interested in?(Required)

Career Coaching (speaker, small group activities, etc.)

Career Fairs

Field Trips

Internships

Host a MFG Month event

Job Shadowing

Offer a CNY STEM Scholarship

Participate in Future Women in STEM

Please list your questions, comments, or any programming ideas below.

Will your company hire students directly out of high school?

Yes

No

Unsure

Do you have any additional information to share about hiring directly out of high school?

How did you hear about us?

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MACNY is a trademark of the Manufacturers Association of Central New York, Inc.

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