Business Partner Information Form
Business Name:
Address: City: Zip:
Telephone: Fax: E-mail:
Website:
How Would You Like to Partner with HIRE LA's Youth? [Please check all that apply]
Post a job opening Attend a Job Fair Learn more about hosting a Hiring Event
Participate as a WRC mock interviewer General Volunteer
Are you the hiring manager at this company Yes No
If not, please provide the contact information of the hiring manager:
Name: Title:
Telephone: E-mail:
Is this your first time participating in HIRE LA's Youth? Yes No
Number of Jobs Available: Seasonal Part Time Full Time
Number of Internships Available: Paid Unpaid
Position Title[s]: Starting Wage:
Brief Description of Duties:
Age Requirement:
Industry: Retail Service Medical Financial Administrative [clerical] Food Services Construction Do you have any colleagues/corporations you would like to recommend to participate in HIRE LA's Youth?
Comments or Questions Please add any comments or questions that you may have about HIRE LA's Youth or the Work Readiness Certification Program.