Heartland Workforce Solutions Business Registration and Service Referral Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for reaching out to Heartland Workforce Solutions. Please complete the following questions to be connected to the business services that best meet your needs. It may take up to 2 business days to receive an initial response from this form.

After completing this form, please feel free to sign up for our Work With Us Wednesdays Zoom orientation session for business and partner programs. We offer these orientation sessions every Wednesday (beginning 1/5/22). More information about these sessions will be included in an email once you complete this form.

What is the name of your business or organization?

What is the address of your business or organization?

What city is the business or organization located in?

What is the zip code?

What industry is your business in?

Construction/Trades

Customer Service and Hospitality

Education

Financial Services

Food Packaging and Processing

Government

Healthcare

Information Technology

Manufacturing

Transportation and Logistics

Other:

Clear selection

What is your name and title?

What is your email address?

What's is the best phone number to reach you at? (optional)

What is your preferred method of contact

Phone

Clear selection

What are your entry level wages? *

English proficiency level required to be successful in your open positions?

None (we have language resources available)

Basic

Fluent

Clear selection

What services or information are you looking for? (check all that apply)

Better Business Workshops (monthly business workshop series)

Connection to community colleges, customized training programs, or to other educational institutions

Employer Spotlight (mini hiring event held at Heartland Workforce Solutions featuring only your business)

Expanding my workforce or relocating to the Omaha metro area

Federal Fidelity Bonds or hiring Justice Involved individuals

Hiring Event Information (job fairs)

Labor Market Information, data, and statistics about my industry

NEworks Assistance

On-the-Job Training Programs (provides partial wage reimbursements for a limited amount of time to employ job seekers that may be experiencing barriers to employment)

Post Job Openings

Training programs for my existing employees

Veterans Services - Information about Hiring Veterans

Work Ready Communities - Find out more about being a part of the Work Ready Communities initiatives locally

Other:

Submit

Clear form

Never submit passwords through Google Forms.

Forms

This content is neither created nor endorsed by Google.