Name of Business:
Phone No.:
Fax No. (Type in "NONE" if you do not have a fax number:
Email Address:
Business Mailing Address:
City:
State:
Zip:
Primary Contact:
Title of Contact Person:
Which school directory would you like to be listed in - Gladewater, Kilgore, Sabine or type in your specific school:
NOTE: You can list more than one school.
You can indicate the category of Service Activity you would like to provide and name a contact person to handle requests. This creates a single point of contact for inquiries and reduces or eliminates requests for activities that are not feasible for you to support. In addition, if you so request, we will support your involvement by working with you to develop the program activity.
Check all that apply:
Demonstrating a Product or Service.
Hosting a Field Trip to my Business.
Be a Guest Speaker for Grades 6 through 8.
Be a Guest Speaker for Grades 9 through 12.
Employing a Co-op Student (half-day).
Employing an Internship/Apprentice.
Providing Shadowing Opportunities.
Mentoring a Student Grades 6 through 8.
Mentoring a Student Grades 9 through 12.
Participate in Career Days.
Please contact me for other ways to participate.
Please check the business category or industry title that best describes your business:
AGRICULTURE:
Agricultural Services
Forestry
MINING:
Metal Mining
Coal Mining
Oil & Gas Mining
Nonmetallic Minerals, Ex Fuels
CONSTRUCTION:
General Building Contractors
General Contractors, Ex Building
Special Trade Contractors
MANUFACTURING - DURABLE GOODS:
Lumber & Wood Products
Furniture & Fixtures
Stone, Clay & Glass
Primary Metal Industries
Fabricated Metal Products
Industrial Machinery & Equipment
Electronic & Other Electrical Equipment
Transportation Equipment
Instruments & Related Products
Miscellaneous Manufacturing Industries
MANUFACTURING - NON-DURABLE GOODS:
Food & Kindred Products
Textile Mile Products
Apparel & Textile Products
Paper & Allied Products
Printing & Publishing
Chemicals Allied Products
Petroleum & Coal Products
Rubber & Misc. Plastics Products
TRANSPORTATION:
Railroad Transportation
Local and Interurban Transit
Trucking & Warehousing
U.S. Postal Service
Water Transportation
Transportation by Air
Pipe Lines, Ex Natural Gas
Transportation Services
COMMUNICATIONS & UTILITIES:
Communications
Utilities & Sanitary Services
TRADE - WHOLESALE:
Wholesale Trade, Durable Goods
Wholesale Trade, Nondurable Goods
TRADE - RETAIL:
Building Materials & Garden Supplies
General Merchandise Stores
Food Stores
Auto Dealers & Service Stations
Apparal & Accessories Stores
Furniture & Homefurnishings Store
Eating & Drinking Places
Miscellaneous Retail Stores
FINANCE, INSURANCE & REAL ESTATE:
Depository Institutions
Nondepository Institutions
Security & Commodity Brokers
Insurance Carriers
Insurance Agents, Brokers & Services
Real Estate
Holding & Other Investment Offices
SERVICES:
Hotels & Other Lodging Places
Personal Services
Business Services
Auto Repair Services & Parking
Miscellaneous Repair Services
Motion Pictures
Amusement & Recreation Services
Health Services
Legal Services
Educational Services
Social Services
Museums, Botanical, Zoological Garden
Membership Organizations
Engineering & Management Services
Private Households
Services, NEC
GOVERNMENT:
Federal Government, Ex Postal Services
State Government, Ex Education & Hospitals
Local Government, Ex Education & Hospitals
REQUESTS, SUGGESTIONS, COMMENTS: