8/11/2019 Techies Day Registration Form 2014
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REGISTRATION FORM
TechiesDay 2014 Wednesday, October 8, 2014
9:30AM to 1:00PM at participating companies
Early registrations are encouraged:
First-registered-first-assigned to available hosts
To: Mame Linford, CCIU Educational Service Center
(mailto:[email protected])
Name of School
Grade Level(s) Represented Subject(s)
Educator coordinating the event
Contact Phone # & e-mail of Educator Coordinator
__________________
Educator(s) Accompanying Students (required)
E-mail Address(s)of Educator(s)
Name of Administrator approving the
trip:___________________________________________
Number of seats you are requesting: (no more than 15)
[Note: Occasionally, some hosts offer more capacity. Ifyour
assigned host could accommodatemore than 15 students, would you
bring more? Yes/no? If yes, how many more than 15? ____]
IMPORTANT INFORMATION: Do not send names now. Register only for
the number of seats for which you can commit.
More than one group can register from a schoolbut each group
must submit a separateregistration form.
You will be notified via e-mail of your host assignment by
September 19. This is a first-registered-first-assigned process
that will match the available hosts to committed schools.
When an assignment has been made and a host notified it is
expected that your
school will commit to attending at the number of seats assigned.
TechiesDay is apartnership with a company that will devote
significant resources to welcome you and
your students. Please respect the relationship.
AFTER you have received your assignment and you have collected
permission forms,please forward to your host contact (CC:
[email protected]) no later than October 1: the
names of the students attending, their grade and approximate
skill levels, and the namesof the adults accompanying them. Please
use the attached form.
Questions? Either email Mame or call her at 484-237-5106THANKS
FOR YOUR INTEREST AND COOPERATION!!
Innovative Technology Action GroupShaping Southeastern PA's Tech
Force
www.itagpa.orgITAG's mission is to create and sustain a regional
partnership in Southeastern Pennsylvania that encourages technology
companies andcompanies that use technology to grow their businesses
in an increasingly sophisticated global marketplace. This is
accomplished by workingclosely with participating companies,
economic development agencies, and education/training partners to
leverage workforce and businessdevelopment resources on behalf of
ITAG members.
