Section 1 of 7 in this document
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MYEP Host Employer Application

Application Information

Full Name

Mailing Address

    Section 2 of 7 in this document

    Company/Organization Information

    Physical Address

      Mailing Address

      Section 3 of 7 in this document

      Industry/Placement Information

      Please select the industry sector(s) that most closely align with the work in which your assigned MYEP participant(s) will engage at your company, business, or organization. (Select all that apply.)

      (1) Agriculture, Food, & Natural Resources (AGNR)

      Please select the career pathways within the (1) Agriculture, Food, & Natural Resources sector in which MYEP students will engage. (Select all that apply)

      (2) Architecture & Construction (ARCH)

      Please select the career pathways within the (2) Architecture & Construction industry in which MYEP students will engage (Select all that apply).

      (3) Arts, A/V Technology, & Communications (AATC)

      Please select the career pathways within the (3) Arts, A/V Technology, & Communications industry in which MYEP students will engage (Select all that apply).

      (4) Business Management & Administration (BMGT)

      Please select the career pathways within the (4) Business Management & Administration industry in which MYEP students will engage (Select all that apply).

      (5) Education & Training (EDUC)

      Please select the career pathways within the (5) Education & Training industry in which MYEP students will engage (Select all that apply).

      (6) Finance (FINA)

      Please select the career pathways within the (6) Finance industry in which MYEP students will engage (Select all that apply).

      (7) Government & Public Administration (GVPA)

      Please select the career pathways within the (7) Government & Public Administration industry in which MYEP students will engage (Select all that apply).

      (8) Health Science (HLTH)

      Please select the career pathways within the (8) Health Science industry in which MYEP students will engage (Select all that apply).

      (9) Hospitality & Tourism (HSPT)

      Please select the career pathways within the (9) Hospitality & Tourism industry in which MYEP students will engage (Select all that apply).

      (10) Human Services (FACS)

      Please select the career pathways within the (10) Human Services industry in which MYEP students will engage (Select all that apply).

      (11) Information Technology (TECH)

      Please select the career pathways within the (11) Information Technology industry in which MYEP students will engage (Select all that apply).

      (12) Law, Public Safety, Corrections & Security (LPSC)

      Please select the career pathways within the (12) Law, Public Safety, Corrections & Security industry in which MYEP students will engage (Select all that apply).

      (13) Manufacturing (MFNG)

      Please select the career pathways within the (13) Manufacturing industry in which MYEP students will engage (Select all that apply).

      (14) Marketing (MRKT)

      Please select the career pathways within the (14) Marketing industry in which MYEP students will engage (Select all that apply).

      (15) Science, Technology, Engineering, & Mathematics (STEM)

      Please select the career pathways within the (15) Science, Technology, Engineering, & Mathematics industry in which MYEP students will engage (Select all that apply).

      (16) Transportation, Distribution & Logistics (TNDL)

      Please select the career pathways within the (16) Transportation, Distribution & Logistics industry in which MYEP students will engage (Select all that apply).

      Position & Corresponding Physical Addresses

      Please list all positions and corresponding worksite addresses using the space below. If MYEP participants will be working in locations other than the primary physical address of the company/organization, please provide any additional address(es) below. Please enter one position and address per line, and select "Add New Entry" to begin a new entry. Entries should be formatted as follows: (Position Title; Street Address, City, ST #####).

      Add New Entry
      Section 4 of 7 in this document

      Participant/Supervisor Information

      Company/Organization Supervisors

      Please list all personnel who will be directly responsible for overseeing the workplace conduct and experience of MYEP participants with your company/organization. Use the following format: (First Name, Last Name, Title, Phone Number, E-mail)

      Add Supervisor
      Section 5 of 7 in this document

      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).

      Work Shifts

      Additional Details

      Section 6 of 7 in this document

      Acknowledgement

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

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