Teen Workforce Development and Leadership Program Registration Application – School or Community Group (Ages 16-18)

School/Group Name

School District

CMSD

Yes No

School Address

City

State

Zip

Primary Contact First Name

Primary Contact Last Name

Position/Role (teacher, science coordinator, etc.)

Phone

Preferred Program Date(s):

(choose up to 3 dates -1 from each category)

September Exploration Topic: Career Pathways

Thursday, September 18, 2025

October Exploration Topic: Career Connections

Thursday, October 16, 2025 Thursday, October 23, 2025 Thursday, October 30, 2025

November Exploration Topic: Community Engagement

Thursday, November 6, 2025 Thursday, November 13, 2025 Thursday, November 20, 2025

Number of Participants ages 16-18

Number of Adult Chaperones

Total Number of Attendees

If you have questions, please contact Zoo Education & Engagement at [email protected].

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