Mayor's Summer Youth Jobs Program - Host Employer Application
Thank you for your interest in the Mayor's Summer Youth Employment Program! Employers make this program possible by providing part-time/minimum wage job opportunities to at-risk youth during Summer 2018. Please provide the following information to help us match an at-risk youth(s) to your organization.

The deadline to submit the Host Employer Application is February 23rd, 2018.

If you have any questions, please fee free to contact Alicia Froidl at Alicia@UnitedWayDenton.org or 940-566-5851 x119

Company/Organization Information
Company/Organization Name *
Your answer
Address Line *
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Contact Person
This person will serve as the primary point of contact for the Mayor's Summer Youth Jobs Program This person does not have to serve as the supervisor of the participant throughout the program.
First Name *
Your answer
Last Name *
Your answer
Office Phone Number *
Your answer
Email Address *
Your answer
Position Information
Title of Position: *
Your answer
Number of Positions Available: *
Your answer
What is the pay rate for this job? *
Your answer
Title of Direct Supervisor
Your answer
First Name of Direct Supervisor *
Your answer
Last Name of Direct Supervisor *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Job Definition *
Please provide a one sentence description of the position.
Your answer
Essential Job Functions *
Please provide a bulleted list of primary job responsibilities and functions
Your answer
Additional Duties
Please list any additional duties that are not part of regular job functions, but may be assigned to the participant.
Your answer
Physical Requirements
Overall Strength Demands *
The following describes the overall strength demand of the functions performed by the incumbent during a typical workday.
Required
Physical Demand Codes
The following describes if the incumbent is expected to exert the following physical demands during a typical workday and overall frequency.
How often will the participant be:
Please indicate responses below.
Never
Almost Never
Infrequently
Moderate Amount
Extensively
Standing
Sitting
Walking
Lifting
Carrying
Pushing or Pulling
Overhead Work
Fine Dexterity
Kneeling
Crouching
Crawling
Bending
Twisting
Climbing
Balancing
Vision
Hearing
Talking
Video Display
Machines, Tools, Equipment & Work Aids *
Please provide a list of any equipment, tools, machinery, etc. that the participant would use in this position.
Your answer
Environmental Factors *
Please provide a description of the working environment.
Your answer
Minimum Qualifications/Acceptable Equivalency. *
Please provide any minimum education requirements if different from program requirements.
Your answer
Conditions of Employment *
Please list any other requirements that your organization and business would place as a condition of employment for a participant. Ex: Minimum age restriction or Class "C" Driver's License
Your answer
Core Competencies *
Please provide a list of abilities required for position.
Your answer
Preferences *
Please provide a list of preferences for the position. This list should include any knowledge, skills, or abilities that would enhance a candidate's aptitude for the position but are not necessarily required.
Your answer
What days and times work best for you (or someone in your office) to attend an orientation session?
Morning
During Lunch
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
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