Partners in Education: Request for Campus Liaison

A PIE Campus Liaison is a part of the Midland Chamber's Education Committee. Their purpose is to help facilitate the communication between a campus's Partners In Education and their principal or main point of contact. 
Campus Contact Information
Information Regarding Previous Liaison (if any)
Did you have a liaison this past school year? *
If you answered "Yes", would you like to have the same liaison assigned this year if available?
Participation Agreement
I've read and understand the above statements and agree to abide by the guidelines given. (If using a touchscreen monitor, you may use stylus or finger to sign. For standard monitor, use mouse to sign) *