Inspire Northward Company Profile Registration Form
Thank you for registering your company with Inspire Northward! By completing and submitting this form you will create a profile for your company as well an account for yourself as your company’s primary contact. Through that account, you can access your company/organization profile and also offer online career coaching for your career area(s), offer Work Based Learning Opportunities, and send company messages to students and educators about your organization's career or education-related topics and programs.

Inspire Northward is proud to make it possible for students and adult career seekers to explore real careers with real professionals and employers. In order to ensure the safety and privacy of our users, all participating businesses and career coach volunteers must successfully pass a 7 year criminal background check, a State Sexual Offender check, and agree to abide by the Inspire Northward Terms and Conditions. Upon completion of this form, we will conduct a criminal history and sexual offender check. All results are confidential and will be shared only with you. Please note that in order to participate in Inspire Northward, businesses will be charged a nominal fee of $5.00 per background check.

By completing this form, you authorize: (a) (“BGC”) to request information about you from any public or private information source; (b) anyone to provide information about you to BGC; (c) BGC to provide the Northwest Wisconsin Workforce Investment Board, one or more reports based on that information; and (d) us to share those reports with others for legitimate business purposes related to your employment. BGC may investigate your education, work history, professional licenses and credentials, references, address history, social security number validity, right to work, criminal record, lawsuits, driving record, credit history, and any other information with public or private information sources. You acknowledge that a fax, image, or copy of this authorization is as valid as the original. By completing this form you also acknowledge the receipt of the attached disclosure form:

We will obtain these reports through a consumer reporting agency. Our consumer reporting agency is (“BGC”). BGC’s address is P.O. Box 353, Chapin, SC 29036. BGC’s telephone number is (866) 265-6602. BGC’s website is, where you can find information about whether BGC’s international privacy practices.

The Consumer Financial Protection Bureau’s “Summary of Your Rights under the Fair Credit Reporting Act” is attached to this authorization. If you are a New York applicant, a copy of New York’s law on the use of criminal records is attached. By completing the form below, you acknowledge receipt of these documents:

Once your background check is complete, we will build your profile in the system using the information you provide in this form. If for some reason we are not able to activate you as a career coach based on results of the background checks, we will notify you and include the reason why. If you don't require a background check, then we'll build your profile without one but you won't have access to some of Inspire’s most powerful tools. Others in your organization can sign up for any of the activities that require a background check under your company name, however.

When your profile is ready (allow up to 14 business days) you will receive an email notification with log in instructions so that you can view the profile. During this time, our staff may contact you for more information about your business to ensure that a robust profile is developed for your organization. Remember, you can make changes to your profile anytime you'd like. In addition, once your company is active in the system, other employees can register as "Career Coaches" by clicking on and then clicking on "Register Today to become a Career Coach!" button.

Please don't hesitate to contact us at any time, with any questions or concerns. Our staff is here to help you make this a rewarding experience for both you and our partner schools/students!


Melissa Rabska
Inspire Northward Administrator
715-682-9141, ext. 122
All of our partner businesses start by creating a Company Profile. In addition to this, which of the following features do you plan to use in your Inspire Northward account? Check all that apply. *
More information about our "menu" of Work-Based Learning Opportunities can be found here:
Why do you want to get involved with schools/students? *
*Indicating your objective(s) will help us guide you in creating an Inspire Northward profile that will best suit your needs!
Name of Company *
Company Street Address *
Company City *
Company State *
Company Zip Code *
Company Website
Year Founded *
Number of Employees (approximate is fine) *
Company Description (700 Character Max) *
Client Base *
Primary Industry *
If your company does not fit into any of the below listed industries, choose the closest match.
Secondary Industry
Complete only if applicable.
Clear selection
List of the jobs your company hires for *
Be as inclusive as possible - if you do not have enough room to list all the jobs, list primary jobs in this registration form. You can add additional jobs once your account has been set up.
What do you look for in prospective candidates? What qualities, skills, certifications or degrees do you look for? What advice would you have for future employees? What are the in-demand jobs your company offers? (700 characters max.) *
URL of your Company's Career/Job Opening Page
If you do not have a website, please type N/A in the field below.
Select all of the Work-Based Learning Activities your company would be interested in offering/engaging in *
For a full description of what each Work-Based Learning Opportunity, please visit our website:
Primary Company Contact First Name *
Primary Company Contact Middle Name *
Please provide your FULL middle name - not just the initial. This is needed for the background check if you personally plan to serve as a career coach. If you do not have a middle name, type "no middle name".
Primary Company Contact Last Name *
Primary Company Contact Date of Birth *
Primary Company Contact Gender *
Primary Company Contact Title or Position *
Primary Company Contact Email Address *
Re-enter Primary Company Contact Email Address *
Primary Company Contact Phone Number *
How did you hear about us? *
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