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____________________ Workforce Center

Employer/Youth Partnership

Employer Information (please complete and mail, fax or call in to WFC)

D
Employer
ate
Physical
Address
Mailing
Telephone Fax
Hiring Agent Web
Email Title

Yes No Area of Interest


I’m willing to hire and train beginners.
Please provide me a rough draft of entry level job descriptions, basic skills
listing, etc.
Please provide me with a copy of the Child Labor Laws.
I would be interested in participating in the Youth Speaker’s Bureau.
I would be interested in providing job shadowing opportunities.
I would be interested in the Work Experience Program.
I would be interested in providing plant /business tours.
Tell me more about how can provide on-site monitoring on the youth I hire.
Please provide a draft of the job posting prior to posting.

©2009 tlcyouthservices
JOB OPENINGS (for each different position complete this section)

Employer: _________________________________________________________ Date:


__________________________

Job Title _____________________________________________________________ Number of


Openings __________

Requirements
______________________________________________________________________________________

_________________________________________________________________________________________
_________

_________________________________________________________________________________________
_________

Duties
_________________________________________________________________________________________
___

_________________________________________________________________________________________
_________

Skills & months experience desired


______________________________________________________________________

_________________________________________________________________________________________
_________

Hour Weekly ____________ Full Time □ Part Time □ Perm □ Temp □ Duration
_________________________

Shift: ____________________________________________ Rate of Pay $_______ per _____


Frequency __________

Job begins: _______________________________________ Job ends:


_______________________________________

Part-time:________________ Full-time:_________________

Position for: Summer Youth only□ Adult□ Both□ Minimum Age _____
Highest Grade Completion: _________

How to apply: □ WFC Referral □ in person at job site □ phone


employer □ application
□ resume only □ mail □ on-line □ website
□ do not call

©2009 tlcyouthservices
Drug Test? Yes □ No□ Background Check? Yes □ No□ Bi-lingual preferred?
Yes □ No□ RIO? Yes □ No□

Any additional information needed for applicant


____________________________________________________________

_________________________________________________________________________________________
_________

These services are provided throughout the year at no cost to you the employer or our
associates.

Contact our office at _________________________ for details. FAX this form to


_______________________.

+++++++++++++++++++++++++++++++++++++++++++++++++++++
++++++++++++++++++++++++++++++++++++++++

Office Use: TWIST entry: ___________ Follow-Up Date:___________ Emp #______________ Job
Order #___________

©2009 tlcyouthservices

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