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: moysmgmt@memphistn.gov.
Business or Organization Name
Your answer
Name of Executive Director/CEO
Your answer
Email address of Executive Director/CEO
Your answer
On-Site Contact Person
Your answer
Email address of On-Site Contact Person
Your answer
Phone number of On-Site Contact Person (xxx-xxx-xxxx)
Your answer
Alternate phone number (xxx-xxx-xxxx)
Your answer
Position within business or organization of On-Site Contact Person
Your answer
Department name or area of On-Site Contact Person
Your answer
Business or organization street address (Street address, City, State, Zip)
Your answer
Website for Business or Organization
Your answer
Please select the city council district within which your business or organization is located.
Please select the category that best describes your business or organization.
Number of summer jobs that your business or organization is willing to provide: (Note: Please provide a minimum of 10 positions for MPLOY students.)
Your answer
Is there a specific age requirement?
If yes, what is the age requirement?
Your answer
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.
Your answer
Do you have multiple worksite locations?
If yes, please indicate the number of alternate worksite locations.
Your answer
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