Connect Washington Intake Form
In order to best complete the following question, please make sure you have completed the RIASEC Code survey located here: https://openpsychometrics.org/tests/RIASEC/1.php. If you have any questions, please contact Bradley.Kuntzman@sdowmo.org or Mary.Kleekamp@sdowmo.org
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Please enter your RIASEC Code (You will need to enter the first letter of the top three categories from your results)
Business Name
Title
Job Duties/ Description
Do you have any suggestions for Lunch & Learn topics that would benefit your business?
How would you like to get involved?
Classroom Speaker
Student/Teacher Tours
Job Shadows
Internship
Apprenticeship
Advisory Board
Client-Based Projects
Teacher Externships
Mentor
Other
Please write a brief description of how your RIASEC code correlates with your job duties. (Example: My RIASEC code is CIS. In my current role as Assistant Principal, I get to work in a school setting (S) and interact with many people (S). I get to help them set goals and solve problems (S). Additionally, I work with data (C), curriculum (C), and policy (C) to make informed decisions (I).
Submit
Should be Empty: