Outreach for K-12

Career Day: School District/Organization Registration

Please complete this form if you want to register for Career Day.

Registration Information

* optional fields

Name First name
Last name

School Information School
School district/organization
Address
City
State
County
Zip Code

ContactInformation Work phone*
Extension*
Fax*
E-mail address*
Confirm e-mail address*

Attendees

You must have at least one adult chaperone per ten students.

Maximum number of students
Number of chaperones

Grade levels of students* 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade

What areas do your students want to visit?

Check all that apply

Health Science Majors*

(Main Campus) – You must pre-register by calling Karen at (570) 320-8007

Dental Hygiene Majors Health Information Technology Major Nursing Majors Occupational Therapy Assistant Major Paramedic Technology Major

Physician Assistant Major Physical Fitness Specialist Major Radiography Major Surgical Technology Major

Advanced Automotive Technology Center (AATC)*

(Wahoo Drive Campus) – You must pre-register by calling (570) 320-8003

Automotive High Performance

Aviation Center (AVC)*

(Aviation Campus) – You must pre-register by calling (570) 320-8003

Aviation Technician Majors

Earth Science Center (ESC)*

(Earth Science Campus) – You must pre-register by calling (570) 320-8003

Diesel Technician Majors Environmental Major Forestry & Sawmilling Majors

Heavy Construction Equipment Majors Horticultural Majors

Locations to be Visited

Time of arrival for each location Main Campus
Aviation Center
Earth Science Center
Advanced Automotive Tech. Ctr.

Lunches

What are your lunch plans?

Brown bag seating is available at the Bush Campus Center, Gameroom.

On campus Brown bag Neither

What time do you want to eat? (On campus lunch)

We may have to assign you to another lunch period if there is overcrowding.

10:45 a.m. 11:15 a.m. 11:45 a.m. 12:15 p.m. 12:45 p.m.

Who is paying for the students meals? (On campus lunch) School District / Organization Students

Number of vouchers and lunches (On campus lunch) How many vouchers do you need?
How many box lunches?

Comments

One College Avenue
Williamsport, PA 17701

(570) 326-3761
(800) 367-9222