PIE Interest Survey

	Business/Organization Name:*

	Contact Person:*

	Title:*

	Mailing Address:*
	Street:   County:   Zip (include State):

	Phone:*

	Fax:*

	E-mail:*

	Please indicate the level of participation you envision. The Forsyth County Schools will honor your request if possible. Do keep in mind the school partnerships are matched to the needs of the individual schools and the resources of the partner. School Partner in Education ( works with one or more schools on two or more activities)
	Elementary   Middle   High   Alternative

	Please indicate the level of participition you envision. The Forsyth County Schools will honor your request if possible. Do keep in mind the school partnerships are matched to the needs of the individual schools and the resources of the partner.
	Mentors and Tutors (works with one-on-one with individual students)    Friend of the School(s) (concentrates on one activity with one or more schools)    Educator Discount Program (enroll online at www.forsyth.k12.ga.us/list.asp?dept=9)

	PLEASE SELECT YOUR AREAS OF INTEREST:
	Mentor/Tutor    Field Trips    Guest Speaker/ Reader    Technical Assistance    Career Speaker/ Assistance    Cash/ Grants    Books/ Periodicals    Staff Development    Job Shadowing    Office Supplies    Student/ Staff Incentives    Junior Achievement    Clinic Supplies    New/ Used Equipment    School Pride Items    Landscaping    Public Relations/ Marketing    Local School Council (LSC)    Paid/ Unpaid Internship    Human Resources    Educator Discount Program    Other, please specify