Principal For A Day® - Executive Sign Up Form

Thank you for your interest in PENCIL's Principal For A Day® on Wednesday May 13th, 2026!

We look forward to connecting you with students and administrators for a day that will open eyes, open minds, and open doors for all participants. Complete all required fields in this application form.

If you have any questions, please do not hesitate to reach out to Charles Parker at cparker@pencil.org.

Information

First Name	Last Name
E-mail Address	Phone Number
LinkedIn URL	Title
Company	Company Website
Industry

Mailing Address

Street

Apt.

City

State

Zip Code

How many years of professional work experience do you have?

Please provide a short biography to share with potential school principals. Please include any connection to NYC public schools and if you have participated in Principal For A Day® in the past if applicable. Suggested length 200-300 words.

Assistant Information

Click here if you'd like your assistant to receive updates or communications on your behalf, please provide their contact details below.

Assistant First Name

Assistant Last Name

Assistant E-mail Address

Assistant Phone Number

Should we include them in all e-mails to you?

YesNo

Do you object to PENCIL promoting your experience thru digital and social media channels? YesNoUnsure	Are you interested in promoting your engagement through digital and social media channels? YesNoUnsure
Are you willing to participate in an interview afterwards to talk about your experience? YesNoUnsure	Are you responsible for executing your company's employee engagement opportunities? YesNoUnsure
Are you responsible for hosting interns (high school and college level) in your company? YesNoUnsure	Are you interested in learning more about our internship and school-based programs? YesNoUnsure

American Indian	Asian	Black / African American
Caribbean	Hispanic / Latino	Middle Eastern and Northern African
Pacific Islander	White	Other
Prefer not to say.

Principal For A Day® - Executive Sign Up Form

Demographics