2012 Educator Exchange Awards Application
(DUE BY 5:00 PM THURSDAY, April 12, 2012)

1. Position
  Please choose one.        
2. Affiliated with students in grade(s)
  Check all that apply.          
2012 Industry Participants are in the process of being finalized.  The following is a list of industries who have participated in the past: Topre, Rehau, The Cullman Times, Cullman Electric Cooperative, Cullman Regional Medical Center and Yutaka.

Preferred Work Weeks
Must be scheduled between the weeks of June 11 and July 16, 2012.  Please do not request the week of July 4th. Applicants are required to attend a one day Orientation on June 7th and a Wrap up lunch on July 26th.

3. Do you have any restrictions on physical work?
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