MYEP Host Employer Application

Company/Organization Information

Legal Name of Company/Organization

Operational Name of Company/Organization

Company Web Address

Street Address

Suite, Unit, etc.

City

State

Zip Code

Does your business/organization operate as a not-for-profit entity?

Applicant Information

Prefix

First Name

Last Name

Title/Role

Phone Number (Direct/Mobile)

Phone Number (Office)

Ext.

Company/Organization Specifications

Please note: The more detailed the information provided in this section, the better the MYEP staff can work to match appropriately equipped students with your organization. All special requests and considerations for your placement(s) must be made in writing in this section (e.g. age requirements, specific computer skills, and any other qualifications).

Other than English, would any other language proficiency be required of a student(s)? (If yes, please list each language requirement by the respective department/area)

What computer/technological skills are required? (please list each set of skills by the respective department/area)

Are there any other skills/qualifications you seek? (please list each set of skills by the respective department/area)

Acknowledgement

As a representative of my company/organization, I have read and understand the Host Employer Guide.

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

City of Charlotte

MYEP Host Employer Application

Company/Organization Information

Applicant Information

Industry/Placement Information

Company/Organization Specifications

Acknowledgement