MPLOY Businesses & Organizations Application 2018
Completing this application DOES NOT guarantee placement of youth at your worksite. Once your application is submitted, you will be contacted to schedule a worksite visit. Once a site visit has been conducted, we will review your application. Please contact the Office of Youth Services with any further questions:
Business or Organization Name
Name of Executive Director/CEO
Email address of Executive Director/CEO
On-Site Contact Person
Email address of On-Site Contact Person
Phone number of On-Site Contact Person (xxx-xxx-xxxx)
Alternate phone number (xxx-xxx-xxxx)
Position within business or organization of On-Site Contact Person
Department name or area of On-Site Contact Person
Business or organization street address (Street address, City, State, Zip)
Website for Business or Organization
Please select the city council district within which your business or organization is located.
I don't know.
Please select the category that best describes your business or organization.
Arts, A/V Technology & Communications
Business, Management & Administration
Education & Training
Government & Public Administration
Hospitality & Tourism
Law, Public Safety & Security
Marketing, Sales and Service
Science, Technology, Engineering & Mathematics
Transportation, Distribution & Logistics
Number of summer jobs that your business or organization is willing to provide: (Note: Please provide a minimum of 10 positions for MPLOY students.)
Is there a specific age requirement?
If yes, what is the age requirement?
Job opportunity description: Briefly describe what MPLOY Youth participants would be expected to do at your business or organization. Please list any specific skills or interests needed. Feel free to list multiple positions if applicable.
Do you have multiple worksite locations?
If yes, please indicate the number of alternate worksite locations.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service