Please print clearly. Use complete Industry Partner’s name and Company name
Name of Industry Partner and Company Name:______________________________________
___________________________________________________________________________
Address: ____________________________________________________________________
City: ___________________________________ Zip Code:____________________________
Teacher Name:_______________________________________________________________
School Name:________________________________________________________________
1. What leadership qualities has your partner demonstrated?____________________________
___________________________________________________________________________
___________________________________________________________________________
2. How has the partner helped generate industry support?______________________________
___________________________________________________________________________
___________________________________________________________________________
3. How has partner helped education and industry work together?________________________
___________________________________________________________________________
___________________________________________________________________________
4. How has the partner made sure that the needs of education and industry are being met? _____
___________________________________________________________________________
___________________________________________________________________________
5. How has the partner helped customize the WL USA Curriculum Guidelines?________________
___________________________________________________________________________
___________________________________________________________________________
6. How has the partner helped fundraise for the program?_______________________________
___________________________________________________________________________
___________________________________________________________________________
7. What type of assisting has the partner given in the certification process___________________
___________________________________________________________________________
____________________________________________________________________________
8. Has the partner helped with state education department meetings? ______________________
____________________________________________________________________________
____________________________________________________________________________
9. Has the partner given any demonstrations in classroom or shop?________________________
____________________________________________________________________________
____________________________________________________________________________
1. Has the partner provided career guidance to students? ________________________________
____________________________________________________________________________
____________________________________________________________________________
11.What equipment or supplies has the partner donated?_________________________________
____________________________________________________________________________
_____________________________________________________________________________
12. Other noteworthy activities:____________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Signature of Teacher:_______________________________ Date:_________________________
Signature of Industry Partner:________________________ Date:_________________________
Please mail or fax or email completed form to:
WoodLINKS® USA PO Box 445, Tuscola, IL 61953
Fax-217-253-3239
Email-woodlinksusa@mediacombb.net
To be considered for this award at the WoodLINKS® USA/AWFS-IWF Teacher In-Service,
this form must be postmarked or faxed on or before June 1 of each school year.
