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OUR PROGRAMS
STUDENT SERVICES
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Employer Partnership Form

"*" indicates required fields

Name*

First Last

Phone*

Email*

Company Name*

Your Position*

Industry*

Your Current Employees

How can we help you with your current employees?*

Select all that apply.

I need help getting my employees certified in our industry.

My current employees need to learn English.

My current employees need a high school equivalency (HSE) diploma.

I do not need help with my current employees.

I need help with something else for my current employees.

What other kind of help can we provide for your current employees?*

Future Employees

Do you currently have a need to hire new employees?*

Yes

No

Approximately how many employees do you need to hire?*

For which shift(s) will you be hiring employees?*

Please be specific about hours.

Please describe your pay rate for available positions/shifts.*

Which industry training would it be helpful for newly-hired employees to have?*

Select all that apply.

Clinical Certified Medical Assistant

Medical Office Admin Assistant

Sterile Device Processing Technician

Dental Assisting

Pharmacy Technician

Teaching Assistant (Praxis Prep)

Plumbing Apprentice

Welding

HVAC Technician

Electrician

Other

Please provide any additional details about what you are looking for in future employees.*

Why Your Organization is a Great Place to Work

Please describe the mission/vision of your company and how your employees can make a difference.*

Please describe any benefits that future employees can experience if hired by you.*

How can you help? Please select any way(s) that you might be able to help us to prepare students to be highly qualified when they enter the workforce.*

This is to assess your organization’s needs and interests, and it does not commit you to a particular partnership pathway.

We would possibly be willing to come in as a guest speaker for students.

We would possibly be willing to provide interview experience for students.

We would possibly be willing to accept internship/externship students.

We would possibly be willing to donate materials/equipment to the school.

We would possibly be willing to donate monetarily to the school.

Other

Please describe the other way(s) you might be willing to help*

Please let us know the best time to contact you for a meeting to discuss a possible employer partnership.

Please select the best day(s) you would be available to meet:*

Select all that apply.

Monday

Tuesday

Wednesday

Thursday

Friday

Please select best time(s) you would be available to meet:*

Select all that apply.

9AM -12PM

1PM – 4PM

5PM – 8PM

Promotional Materials

Please upload any promotional materials or flyers you would like to share:

Max. file size: 64 MB.

If you would like to upload any logos or graphics for us to display to promote your company, please upload those here.

You may upload more than one file.

Drop files here or

Max. file size: 64 MB.

ABOUT
OUR PROGRAMS
STUDENT SERVICES
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Main Campus Location & Hours

1155 S. High School Rd.,
Indianapolis, Indiana 46241.

The Adult Education office is located at the Ben Davis University campus. Enter through door #2.

Office: 317-988-7975 | Fax 317-988-8727

Hours: Monday-Thursday – 8:30 AM-8:30 PM, Friday – 9:00 AM-12:00 PM

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