Employer Interest Form
Company Name *
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Primary Contact Name *
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Primary Contact Email Address *
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Primary Contact Phone Number *
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Where would this job be located? Please be specific as possible:
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Is the workplace accessible by public transit?
Position Type:
Application Deadline Date:
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Position Start Date
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Position End Date
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Age Requirements:
Number of Positions Available:
How Many Hours Per Week
Shift Types
Job Description
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Primary Job Duties
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Additional Details: Please check all that apply.
Have You Hired YouthCare Youth Before? If yes, please explain:
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Thank You For Your Participation!
If you have any further questions, please email us at jobpartners@youthcare.org
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