EmailMe Form - Summer Youth Employment

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: *

Prefix

First *

Last *

Suffix

Title: *

Email:

Phone Number: *

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Fax Number:

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Information Regarding Youth Intern:

Have you previously worked with RochesterWorks?

Have you previously worked with City of Rochester/Summer of Opportunity?

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?

Will you be able to provide 120 hours of work experience between the dates of July, 11 through August 26, 2011?

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?

Job Title:

Skills Required:

Will you train if needed?

Job Title:

Skills Required:

Will you train if needed?

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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