WORKSITE APPLICATION ~ Greater New Bedford Summer 2023
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.
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
Will you host 14-15-year-olds?
Yes
No
N/A
Will you host 16-21-year-olds?
Yes
No
N/A
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
Is the worksite accessible by public transportation?
Yes
No
N/A
Will the youth be outside for any extended period of time? If youth are outside for an extended period, will they be given water?
Not applicable / Youth do not work outside
Youth work outside and we will provide water
Youth work outside but we would like assistance with providing water
Does this position have any job requirements (CORI, SORI, Fingerprints, DCF etc.)?
Please type your weekly work schedule including days of the week and times each day.
Please Specify what days and times/shifts you need for this position (ex: Mon-Fri 8-4PM, Mon/Tue 3-6PM, M/W/F 9-5PM).
What age range of young adults would you like to host (14-15, 16-21, 21-25)?
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
Second Worksite Contact
*Title, First Name, Last Name, Phone Number, Email Address
For Office Use Only / Status
Status Code
D=Duplicate
A=Active
I=Inactive
R=Remove / Archive
NEW=New username
W=Withdrawn from Program
Safety Protocols - For In-Person Opportunities
Health and Safety Protocols for this worksite and this position:
Provide a summary of health and safety protocols to be followed at the in-person worksite. These protocols should cover not only the basics asked of all businesses but also anything relevant to the YW placement duties.
PPE needed for this placement and who is providing it:
Relevant PPE needed for placement and whether the employer, YW partner organization or youth is responsible for providing these items.
Who at the worksite is responsible for overseeing participants’ adherence to health and safety protocols? Under what circumstance will a worksite inform the partner organization if protocols were not followed? Please note that anytime there is a concern that a YouthWorks participant has been exposed to COVID-19 at a worksite, the Commonwealth Corporation and MA Department of Industrial Accidents must be informed. Please attach/email or write in your policy for monitoring adherence.
Who is responsible for ensuring adherence to Safety Policies?. Include who will inform the City of Malden if protocols are not followed:
Names of individual(s) from the partner organization who will be responsible for monitoring and oversight of this placement.
Are you requiring participants to be vaccinated?
Yes
No
N/A
GNB | Greater New Bedford | PY2023-2024_Cycle1 | Greater New Bedford Summer 2023
