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NELC Membership Nomination Form


Yes! I would like to join the National Employer Leadership Council in making a difference in the quality of our nation's workforce. I understand there are no membership dues and the only requirement of members is a commitment to School-to-Careers through my own STC program(s) or projects.

Please answer the questions below, and click on the "submit" button:

If you have any questions filling this out, or if you would like to request a fax form, please contact us at 1-800-360-NELC

Contact Information

Name

Prefix

First:

Middle:

Last:

Title:

Organization:

Type of Membership:

(Company Members: Employers from the Business Community
Affiliate Members: Educators or other Individuals from the general Community)

Number of Employees:

Phone:

Fax:

E-mail:

Website:

Street Address:

City:

State:

Zip Code:

The Community you work in is:


Nominate others:


How did you learn about the NELC_

Notes:

Number of employees in...

Local Facility:
Corporate-Wide:

Industry Type:

Strategic Alliances


Membership Profile

Description of Organization

Employer Engagement in School to Career

Work-based learning opportunities for students:
Company Tours
Job Shadowing
Mentoring
Internships
Co-ops
Multiple items may be chosen.

Work-based learning opportunities for educators:
Company Tours
Job Shadowing
Mentoring
Externships
Multiple items may be chosen.

Connecting classroom and the workplace:
Project-based curriculum
Career Talks
Supporting the use of student records in the hiring process

Multiple items may be chosen.

Description of your STC Activities

Address of Your Website and any of your STC projects online

Which school populations do you serve_:
Elementary
Middle
High School
Community college
4-year college

Multiple items may be chosen.

Can we post your information on this site for other NELC members_

Are you willing to be contacted as a resource_

Are you interested in being included in a media bank_

Are you available as a speaker_

To send the membership form, press:

If you would like to redo it, then press: .

If you're in any doubt, then return to our home page...

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