Executive for a Day - Thursday, April 24, 2008

Please complete this Principal Enrollment Form

Your Information

Name: School: Local District:
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

I would like to participate in Executive For A Day on Thursday, April 24.
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 visit the executive that came to my school on "Prinicpal for a Day".
Because of my involvement with a Small Learning Community or Academy, I would be interested in a company from a specific industry sector, which is:
I would like to visit a business/organization near my school.
I would like to visit a business/organization near where I live:
I have no specific Executive preference.

Executive for a Day - Thursday, April 24, 2008 Please complete this Principal Enrollment Form

Please complete this Principal Enrollment Form

Your Information

Name: School: Local District: 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

Executive for a Day - Thursday, April 24, 2008

Please complete this Principal Enrollment Form

Name: School: Local District:
Address: City: Zip:
Telephone: Ext: Fax:
Email:

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