STEP 1: Host Site Intent to Participate Form 2025

Step 1: Employer Participation Questionnaire

Interested in offering job opportunities to youth for the summer of 2025? Please fill out this form.
Name of Company/Organization*
Name of Representative*

First NameLast Name
Contact Email Address*
example@example.com
Contact Phone Number*
Please enter a valid phone number.
Worksite Address for Interns

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select the category that best describes this business/organization.

Community DevelopmentConstruction and TradesEducationFinancial ServicesGovernmentHealthcareHospitalityInformation TechnologyLaw and Legal ServicesMedia and EntertainmentNon-profit and Social ServicesProperty and Real Estate ServicesRetailScientific ServicesOther
You chose 'Other.' Please provide the industry.
Please share any further information you think is important for our team to know.
Should be Empty:

Step 1: Employer Participation Questionnaire