Summer Youth Employment

Business Information

DBA: *
Federal ID Number: *
Address *

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
Worksite Contact: *

First
Last
Title: *
Email:
Phone Number: *

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Fax Number:

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Information Regarding Youth Intern:

Have you previously worked with RochesterWorks?
 Yes 
 No 
Have you previously worked with City of Rochester/Summer of Opportunity?
 Yes 
 No 
If so, when?
Number of youth requesting?
Minimum age requested for summer intern (16-20)
List hours needed to work? (including weekends/evenings/holiday breaks):
Will you provide a work site mentor?
 Yes 
 No 
Will you be able to provide 120 hours of work experience between the dates of July, 11 through August 26, 2011?
 Yes 
 No 

INFORMATION REGARDING THE JOB:

List the types of job functions and skills you expecting the youth worker to perform:
Job Title:
Skills Required:
Will you train if needed?
 Yes 
 No 
Job Title:
Skills Required:
Will you train if needed?
 Yes 
 No 
Job Title:
Skills Required:
Will you train if needed?
 Yes 
 No 

Thank you for allowing us to serve you

Someone will contact you to discuss the next steps in the process to submit potential candidates for your position.
or contact
Rosa Smith-Montanaro
Placement Specialist
RochesterWorks!
255 N. Goodman Street
585.258-3513
Email: RSMontanaro@rochesterworks.org
or
Alison Alden, Employment and Training Counselor
Bureau of Youth Services
Department of Recreation and Youth Services
City of Rochester
Franklin Street, Suite B-5
Rochester, NY 14604
585-428-6342
Email: aldena@cityofrochester.gov
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