Paid Work Performance Request Form

Each year, ForeverDads – the Center for Fathers & Families and the ComeUNITY Marketplace staff, associates, community volunteers and board members donate hundreds of hours to our community through service projects to our organization as well as to other nonprofit community based organizations; businesses; schools and government entities. They also participate and support community events, such as ServeFest; All Star Dads Day; Zemba Family Field Day to name a few.

ForeverDads - the Center for Fathers & Families and the ComeUNITY Marketplace may be contacted for paid work by program participants defined as associates who are either compensated in part by a state or federal program or are volunteers participating for work experience to bridge them to employment.

If you are interested in:

• Paid work performance associates

Please read the following. We have more requests for volunteers than we can possibly fulfill, so the sooner we get your request, the better chance we have of providing your organization with the necessary and needed assistance.

Also, please keep in mind that we have scheduled work experience programs for our associates and have limited staff to manage the scheduling so your long term planning is critical to our capacity to fulfill your needs.

Due to the nature of the program participants/volunteers, we may experience times when are unable to fulfill any request until initial orientation and training have been provided. In some cases, we may be able to provide volunteers or paid work performance associates, however supervision will not be included.

Please contact us by phone (740) 453-1323 and ask for the Special Projects Coordinator or resubmit your request if it has been greater than one (1) week. Circumstances may unfortunately be that we will not have the time and/or resources to help until a later date.

Visit our website for contact information -

Name of Organization or Individaul Requesting an Associate

Agency/Organization/Business Name *
Contact Person *
First *
Last *
Title or Position *
Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Phone Number *

Cell Phone

Email Address *
Confirm *
Description of Work to be Performed *
Work Schedule Days *
Work Schedule Shift *
 Day Shift (7am-3pm) 
 Evening Shift (3pm-11pm) 
 Midnight Shift (11pm - 7am) 
 1/2 Day AM 
 1/2 Day PM 
 (if none of the above) See Listed Below 
For specific Day/Hour availability, please enter information below.
List Preferred Skill Base Requested (Construction; Welding Certification; CPR Certified, etc.)

Work Site Location, if different than original submitted location.

Name of Facility or Owner *
Address: *
Supervisor: *
Position Title:
Direct Phone Number *

Will additional transportation be necessary (moving from work site to work site)? *
Projected Start Date *

Projected Finish Date *

Other information about this job/project:
Number of Associates Needed: *
Special Conditions or Requirements: *
Check all that apply
Donations (All donations are deposited into the Marketplace Employment Training Program)
Donation is not required
Other (please list any travel reimbursement, meals, etc.)

Paid Work Performance Request

This request for an associate or associates for a work experience project will be reviewed by our Job Coach. The goal is to match the right associate(s) to your project needs request.

In some cases, a request may come before the leadership team depending on the number of persons needed. This may delay our response.

All associates who participate in our Marketplace Employment Training program do so with the goal of becoming fully employed. This can directly affect the availability of associates.

Please be aware that your insurance will be required to cover individuals not protected through a program coverage plan. You agree that the conditions which they will serve are safe to the best of your ability.
Do you agree with the terms and conditions? *
 Yes, I agree. 
Initial *
Date *

Image Verification
Please enter the text from the image:
[Refresh Image] [What's This?]
Powered byEMF Web Form
Report Abuse