PENCIL works closely with your teachers and other school staff to introduce you to a team of business professionals ready to share new college and career opportunities and help you prepare for success after high school. The business professionals have committed to working with you throughout the year and we ask that you make a similar commitment. 

If you have any questions about this form or PENCIL's partnership program, please speak with your teacher or PENCIL Program Manager. 
THANK YOU.
Thank you for participating in PENCIL's Point of Engagement. PENCIL works closely with your teachers and other school staff to introduce you to a team of business professionals ready to share new college and career opportunities and help you prepare for success after high school. Please complete this form to provide feedback on your experience. 
THANK YOU.
Thank you for participating in PENCIL's sessions. PENCIL wants to understand their students and the impact of their programs. Your information will help improve events for staff, volunteers and future students. This is not a test and there are no right or wrong answers. If you are not sure of an answer, choose the answer closest to how you feel.
THANK YOU.

Consistent with the Children’s Online Privacy Protection Act of 1998 (“COPPA”), we will never knowingly request personally identifiable information online from anyone under the age of 13 without prior verifiable parental consent.











Session Feedback

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Appropriateness of Conduct

Students will not engage in unsupervised contact with the business volunteers, including texting, talking on the phone, or meeting in person outside of Partnership activities.  Interactions between students and Business Volunteers take place only at Partnership activities under the supervision of school staff and PENCIL.  

Students may not exchange emails with any business volunteers, except under the supervision of the school liaison and/or Partnership Manager who will be copied on all email exchanges. 

Students must immediately inform the school liaison or PENCIL staff if a business professional makes a student feel uncomfortable or asks the student to meet outside of partnership activities.  This includes the times directly before or after a partnership session.  Students are not allowed to meet with business volunteers outside of partnership activities supervised by school staff and PENCIL.  

Students must respect the cultural, religious, and economic differences, ideas, and values of the business volunteers in all interactions.  Students should not engage in any communication with the business volunteers that includes swearing, references to disabilities, sexual content, racist, sexist or homophobic language.  

Participation Guidelines

Students are expected to attend ALL Partnership sessions. Students should notify their school liaison if they will not be able to attend a scheduled event. Unexcused absences from Partnership activities may result in dismissal from the program.   

Students are expected to be respectful of the business volunteers time and follow through with all their commitments and deadlines associated with the Partnership including those requiring work at home and between Partnership sessions.  

Media Consent

Project/purpose and Date(s)

PENCIL’s programs focus on college and career readiness and are designed to provide a continuum of college preparedness and work-based learning experiences. Programs will introduce students to the “Keys to Success” in three outcome areas: Relationships, Skill Attainment, and Access to Opportunity. The programming supports ongoing relationships between business partners, schools, and students to prepare students for college and career success. Up to ten 3-hour sessions may be scheduled throughout the 2023-2024 school year at school or corporate offices.  Sessions may cover a range of program models - project-based learning, college & career readiness, and career exploration with corporate partners. 

  

I grant PENCIL, Inc the right to edit, use, disclose, reuse and redisclose the Student’s image, quotes, name, interviews, and photographs, recordings, and videos of the Student (“recordings”) for its nonprofit purposes related to the project/purpose stated above. This includes use in print, online spaces, apps, and all other forms of media. The entity will share the recordings in the places listed below: 

  

  • www.pencil.org
  • https://www.facebook.com/PENCIL.org
  • https://twitter.com/pencilorg
  • https://www.linkedin.com/company/pencil/
  • https://www.instagram.com/pencilorg/


Limitations of this release 

The recordings named above shall not be used in connection with any advertising, marketing, promotion or sale of products, or other commercial use. I release the New York City Public Schools, its agents, or its employees from all claims, demands, and liabilities in connection with the rights granted above.   


Solely in relation to the non-profit project/purpose described, I consent to the use and disclosure of the image, quotes, name, the participation in interviews, and the taking of photographs, recordings, and videos of the Student named above by: 


PENCIL, Inc., 30 West 26th Street, 5th Floor, NY, NY 10010  

Getting To Know You



Which of the following steps have you completed? 


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PENCIL wants to understand their students and the impact of their programs. Your information will help improve events for staff, volunteers and future students. This is not a test and there are no right or wrong answers. If you are not sure of an answer, choose the answer closest to how you feel.
THANK YOU.
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Program Outcomes
Thinking about your PENCIL experience, how much do you agree with the following?







Asset Domains

Developmental Relationships
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Essential Skills
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Access to Opportunities
Thinking about your access to opportunities, how much do you agree with the following?






Demographics

PENCIL is interested in ensuring our programming meets the need of all students. The information provided here will not affect your participation in the partnerships in any way.