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Workforce Partnership Programming Activity Request

Workforce Partnership Programming Activity Request

Workforce Partnership Programming Activity Request

Workforce Partnership Programming Activity Request

Please use this request to schedule a programming activity. 1. Please submit only one activity per request. 2. Please request no more than (2) dates for the activity. 3. Be sure to identify time range(s) for each date; multiples can be listed (separate with a comma). 4. If you have questions, please call our office at 937.498.9900.

Name*
First Last
Email*
Phone*
School*
- Anna
- Botkins
- Christian Academy
- Fairlawn
- Ft. Loramie
- Houston
- Jackson Center
- Lehman
- Russia
- Sidney
- Sidney Opportunity School
Grade Level (select all that apply)*
- Select All
- 7th
- 8th
- 9th
- 10th
- 11th
- 12th
What activity are you requesting?*
Explanation for "Other Activity"
If classroom speaker is requested, what is your topic request?*
- Workforce Partnership & Hometown Opportunity
- Manufacturing Company and Careers
- Construction & Skilled Trades Company and Careers
- Healthcare Company and Careers
- Food/Agriculture Company and Careers
- Parts Suppliers and Logistic Company and Careers
- Other Topic (If Other, explain below)
Explanation for "Other Topic"*
1st Date requested:*
MM slash DD slash YYYY
Start & End time(s) requested:*
2nd date requested (if needed):
MM slash DD slash YYYY
Start & End time(s) requested for 2nd date:
Special Instructions/Comments:

Workforce Partnership of Shelby County

101 S. Ohio Avenue, Floor 2
Sidney, Ohio 45365

Phone
(937) 498-9900

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