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?*YesNo, it is only accessible by carPosition Type* Full-Time Employment Part-Time Employment Full-Time Paid Internship Part-Time Paid Internship Application Deadline Date Format: MM slash DD slash YYYY Position Start Date Date Format: MM slash DD slash YYYY Position End Date Date Format: MM slash DD slash YYYY Age Requirements16+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…NoWhich 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 DetailsHave you hired YouthCare youth before? If yes, please explain.EmailThis field is for validation purposes and should be left unchanged.