WORKSITE APPLICATION ~
Company and Contact Information
Organization Name
Organization Address
Organization City
Organization State
Organization Zip Code
Organization Website
*Sector Type (Public, Private, Nonprofit)
Private
Public
Nonprofit
Job Description
Job Title of Opening(s)
*Please provide a brief job description.
How many youth would you like to hire?
1
01
02
03
04
05
06
07
08
09
10
100
105
11
110
115
12
120
125
13
130
135
14
140
145
15
150
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
40
45
50
55
60
65
70
75
80
85
90
95
Any comments about the number of openings.
*Hourly Wage
Job category (check a category that best describe the work that youth will perform)
Arts and Communications
Business
Camp Counselor
Childcare
Construction and Design
Culinary Food Service and Restaurant
Education
Environment Agriculture and Natural Resources
Financial Services Insurance and Real Estate
Health Care
Hospitality Tourism and Recreation
Human Services
Information Technology
Landscaping / Maintenance
Law Government and Public Service
Manufacturing, Science and Engineering
Marine Industries
Retail and Services
Transportation
Is this a remote, on-site or hybrid opportunity?
On-site
Remote
Hybrid
Work-Based Learning Skills
Please check 3-5 skills that participants will develop through this work experience.
Active Learning
Applied Arts and Design
Applied Mathematics
Career Awareness
Child Development
Collecting and Organizing Information
Computer Technology
Cooking / Culinary Arts
Creativity
Customer Service
Design Principles and Graphic Design
Early Childhood / Math Literacy
Early Childhood / Reading Literacy
Engineering Concepts
Entrepreneurial Thinking
Environmental Literacy
Equipment Operation
Fashion Merchandising
Food Safety
Health Literacy
Horticulture and Plant Knowledge
Landscaping
Leadership
Maintenance / Repair / Painting
Media Literacy
Medical Office Customer Service / Interacting with Patients
Medical Office Skills
Medical Office Vocabulary
Menu Planning and Nutrition
Office Suite Software
Peer Leadership
Photo Editing
Project Management
Reading
Research and Analysis
Retail Sales
Science Lab Concepts
Self-Advocacy
Software Development
Teaching and Instructing
Time Management
Understanding All Aspects of the Industry
Web Development
Writing
Worksite Information
Worksite Address if different from organization main address
City
Zipcode
Will the youth be outside for any extended period of time? If youth are outside for an extended period, will they be given water?
Yes
No
N/A
Worksite Contacts / Project Lead
Contact First Name
Contact Last name
Job Title
Phone Number
*Email Address
Role in the YouthWorks program
Direct Supervisor
Coordination / Hiring / General Communications
For Office Use Only / Status
Status Code
D=Duplicate
A=Active
I=Inactive
R=Remove / Archive
NEW=New username
W=Withdrawn from Program
none | none | PY2022-2023_Cycle2 |
