Employer Partnership Form "*" indicates required fields Name* First Last Phone*Email* Company Name* Your Position* Industry* Your Current EmployeesHow 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 EmployeesDo 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 WorkPlease 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 MaterialsPlease 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 Select files Max. file size: 64 MB.