Business Form

If you are interested in participating in this exciting new program, please take a few moments to fill out this form. All the information you give is confidential and is only made available to members of the Aim Higher program.

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  1. Please provide the following contact information:

    Name
    Title
    Organization
    Street Address
    Address (cont.)
    City
    Province
    Postal Code
    Work Phone
    FAX
    E-mail
    Web Site

  2. What types of jobs are available in your company?

  3. What would you be interested in offering our students:

    Serving as a volunteer or mentor
    Visiting the classroom
     Providing field trip opportunities
     Accepting students on work placement for a day
     Participating in structured workplace learning

  4. How old would a student have to be to participate on a placement in your place of work

  5. Will you give the Western Quebec School Board permission to make this information available to our students on the My Destiny web site?

    Yes No

Miss Kelly Butler - Career Education Consultant.
Copyright © 2003 [The Western Quebec School Board]. All rights reserved.