Employer Interest Form Company Name* Primary Contact Name* Contact Email* Contact Phone*Where would this job be located?*Please be as specific as possible. Is the workplace accessible by public transit?* Yes No, it is only accessible by car Position Type* Full-Time Employment Part-Time Employment Full-Time Paid Internship Part-Time Paid Internship Application Deadline MM slash DD slash YYYY Position Start Date MM slash DD slash YYYY Position End Date MM slash DD slash YYYY Age Requirements 16+ 18+ Number of Positions Available* 1 2 3 or more Hours Per Week* 1 - 10 Hours 11 - 20 Hours 21 - 30 Hours 31 - 40 Hours Shift Types Morning Afternoon Evening Overnight Other… Other Shift Type(s)* Job Description*Primary Job Duties*Is there a specific employment training program you'd like to hire youth from? Yes… No Which program(s)?*Select all that apply. Garden Program Tile Project Barista and Customer Service Program YouthBuild Doorways Youth Employment Additional DetailsSelect all that apply. Primarily Inside Primarily Outside Requires Standing or Walking Requires Sitting at a Desk Requires Moving Heavy Items or Manual Labor Requires Professional Attire Requires Work Clothes or a Uniform Complete an online application Other… Other Additional Details Have you hired YouthCare youth before? If yes, please explain.NameThis field is for validation purposes and should be left unchanged. Δ