Summer 2025 Teacher Externship Employer Registration
Thank you so much for being a part of the Summer 2025 Teacher Externship! Your dedication to education and your future workforce is truly appreciated and will make a lasting impact. Please take a moment to complete the acknowledgement form below and share the details of your valuable contributions. This information will help us properly recognize your efforts and ensure we meet all grant requirements. 100% of this project is funded with federal funds. Workforce Solutions is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. For the hearing impaired, call TDD 1-900-735-2989 or VOICE 1-800-735-2988.
Company Name
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First Name
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Last Name
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Address
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County
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Phone Number
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E-mail
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Number of Teacher Externs
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I understand the teacher(s) matched with my organization will be reaching out to the schedule their time on-site
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Yes
No
Which industry does your company represent?
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Agriculture, Food, and Natural Resources
Architecture and Construction
Arts, Audio Visual Technology and Communications
Business, Marketing, and Finance
Education and Training
Energy
Engineering
Health Science
Hospitality and Tourism
Human Services
Information Technology
Law and Public Service
Manufacturing
Transportation, Distribution, and Logistics
Other
I understand my role in this opportunity is to: -Align industry needs with the knowledge and skills taught in the classroom. Provide a main point of contact/site supervisor for the teacher extern(s)Remain available and responsive in a timely manner to inquiries from teachers and the Externship management team.Share expectations and instructions for teacher extern(s).Protect the safety of teacher extern(s), i.e., Do not allow unauthorized/unassisted use of dangerous equipment.Provide opportunities for teacher extern(s) to see a wide range of in-demand skills within the workplace. Assist with daily attendance forms/timesheets with teacher extern(s).Sign timesheet once completed. Provide feedback about the experience.
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Yes
No
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In-Kind Contributions
Each employer is required to provide an in-kind contribution to the program. 20 program hours are required to be spent with each Teacher Extern in the work environment. You may also include time spent in advance to learn about the externship program and planning activities for the Teacher Extern(s)
Total amount of employee time dedicated to externship experience (estimated hours)
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Monetary value of time in-kind contribution
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I certify that the above information is true and accurate to the best of my knowledge
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Yes
No
Is there any additional information you would like to provide? For example, you would like to be paired with a specific teacher or school district, please list that information here.
Submit
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