Where are you now?? (former PAS members)

Tell us what you are doing. Knowing where former PAS members
a) are currently employed,
b) and/or are currently doing
provides important information to promote the value of PAS to potential corporate sponsors.

Name


  1. Email address: (NOTE: We will use your email to update you about former PAS members.)


  1. If employed, please list/describe your PLACE of employment.
    Example: Pioneer Hi-Bred International , District Sales Rep.


  1. If an ENTREPRENEUR, please describe your business/farm.


  1. Briefly describe any key memories of your involvement in PAS.


  1. May we contact you? NOTE: You will NOT be contacted, UNLESS you indicate YES.
    Yes
    No


  1. PAS was very important in helping build my leadership skills.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. PAS was very important in helping build my communication skills.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. (optional) Home address:


  1. (optional) Phone number:


  1. Do you use Facebook?
    Yes
    No





Instructor
Maquoketa High School
IA