PHCSE & Microsociety Partnership Survey

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Thank you for considering community partnership with PHCSE's Microsociety. Please complete this survey to indicate the ways in which you are interested in partnership.

Email *

Name *

Phone Number *

Organization/Affiliation *

Business Website

Check all that apply. I am interested in partnering with PHCSE & Microsociety K-5 ventures in the following ways: *

Addressing a whole venture/agency concerning your job/profession, education and qualifications

Advise student business owners and/or managers

Periodically work with a small group at a venture/agency

Hosting and/or financing a field trip at your business or place of work

Supply materials needed by venture and agencies

Donate funds to sponsor a venture or agency

Teach a professional development to the citizens at MicroSociety

Help with a warehouse drive by providing a collection spot

Offering job shadowing opportunities

Post signs about PHCSE's MicroSociety events and program at your place of business

Include PHCSE's Micro news on your website or newsletter

Inviting students to speak to your employees

Be "consumers" on a day when ventures/agencies are open for business

Sponsor teacher and/or student visits to Micro Sites

Visiting PHCSE's MicroSociety for special events such as inauguration, town hall meetings, and seeing MicroSociety in action

Financially sponsor a professional development for the citizens at MicroSociety

Other:

Required

Are you able or willing to help PHCSE network other businesses to partner with our MicroSociety?

Yes

Any additional information you would like us to know about your commitment to partnering with us?

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