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Business Partnerships Network
Placement Survey

Name (First Last)

Work Email Address

Phone Number (you can be reached at between 8 am - 5 pm EST)

Employer Name

Employer Website

Please select the industry that best represents your business.

Agriculture, Food & Natural Resources
Architecture & Construction
Arts, A/V Technology & Communications
Business Management & Administration
Education & Training
Energy & Power
Finance
Government & Public Administration
Health Sciences
Hospitality & Tourism
Human Services
Information Technology
Law, Public Safety, Corrections & Security
Manufacturing
Marketing
Science, Technology, Engineering & Mathematics
Transportation, Distribution & Logistics

Please select the types of experiences your business would like to explore for potential partnerships:

Apprenticeship
Clinical Experience
Computer Science Internship
Cooperative Education
Externship
Internship
Job for a Day
Recruitment
Senior Capstone Project
Service Learning Project
Volunteer: Guest Speaker (Virtual or In Person)
Volunteer: Judge for Career and Technical Student Organization Competitive Events (i.e., DECA, FBLA, TSA)
Volunteer: LCPS Career and Apprenticeship Fair
Volunteer: Virtual Field Trip Host (i.e., job shadowing, business tour or panel discussion)

Is there a specific high school/educational center or geographic area that you would like to prioritize for your student opportunities?

Open to All LCPS High Schools and Educational Centers
Broad Run High School (Ashburn)
Briar Woods High School (Ashburn)
John Champe High School (Aldie)
Dominion High School (Sterling)
Douglass School (Leesburg)
Freedom High School (South Riding)
Heritage High School (Leesburg)
Independence High School (Ashburn)
Lightridge High School (Aldie)
Loudoun County High School (Leesburg)
Loudoun Valley High School (Purcellville)
Park View High School (Sterling)
Potomac Falls High School (Sterling)
Riverside High School (Leesburg)
Rock Ridge High School (Ashburn)
Stone Bridge High School (Ashburn)
Tuscarora High School (Leesburg)
Woodgrove High School (Purcellville)
Academies of Loudoun (Leesburg)

Please select the timeframe you would like to be involved:

Summer (June - August)
Fall Semester (September - December)
Spring Semester (January - May)

Are your student opportunities paid or unpaid?

Paid
Unpaid
Both Available
Unsure

Would your business be interested in attending or sponsoring a table at the annual School-Business Partnership Breakfast?

Yes
No
Interested, but would like to learn more.

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