Executive for a Day - Thursday, April 24, 2008


Please complete this Executive Enrollment Form

Your Information

Name: Title:

Business/Organization:

Address: City:

Zip:

Telephone: Ext: Fax:

Email:

Please indicate the best time and method (i.e. Fax, Phone, e-mail) to contact you:

Scheduling Preferences

Yes! I'd like to host a principal at my workplace on Executive For a Day, Thursday, April 24 (8:00-3:00 or determined by participants).

I am unable to participate on this date, but would like to schedule a visit on another date that is mutually convenient. Please indicate a date and time convenient for you.

I would like to invite the principal from the following school to visit my company:

I would be interested in hosting the Principal of a school with a Small Learning Community or Academy that focuses on my company's industry sector, which is

I have no specific Principal preference.