I am...

Online School-Year Internship Intern Request Form

* - required fields
Type of Registration There are several ways that employers can support the WorkReady Internship program. Please select from one of the fields below.
I would like to:	Hire and Host a WorkReady Intern This indicates that you are able to support the wages of the intern and host one or more at your worksite for the duration of the program. Become a WorkReady Intern Sponsor This indicates that you are not able to host an intern at your worksite but are interested in sustaining the program by financially supporting an internship at a small business or non-profit. Request a Subsidized WorkReady Intern to be Placed at My Worksite This indicates that you cannot financially support an intern, but could host one or more at your worksite for the duration of the program. The WorkReady program supports subsidy opportunities at small businesses, with 3 to 50 employees, or non-profit organizations. Additionally, if you do not meet the subsidy criteria but are able to financially support at least one WorkReady school-year or summer we can offer additional subsidized interns for the school-year program.
Company Information
*Official Company Name:	Please use legal name of company. The information entered will be used on all internal and external materials.
*First Name of Worksite Coordinator:
*Last Name of Worksite Coordinator:
*Title:
*Phone:
*Contact E-mail:
Address:
Suite/Apt/Floor:
*City:
*State:
*Zip:
*Industry Classification:
*Industry:
*Number of Employees:
Secondary Contacts
*Secondary First Name:
*Secondary Last Name:
*Phone:
*Email:
Higher Level Contact Name:
Higher Level Contact Title:	We would appreciate this information for recognition events and materials.

Volunteer	Get Involved	Donate

Would you like the invoice to be sent to staff other than yourself?	Yes Finance Office Contact Name: Finance Office Contact Title:
Intern Information
*Number of Interns/ Available Positions:	WorkReady internship programs require a 1:3 supervisor to intern ratio. Therefore we ask that you list the additional supervisors at your worksite that will be working with your interns. Supervisor name #1: Supervisor name #2: Supervisor name #3: Supervisor name #4:
Interns Wage:	$8.00
Ideal working hours: (i.e. 2pm - 5pm)*	Please note that interns will not report to work between March 25th thru March 28th due to Spring Break. Interns will return to work on March 29th.
*Days of the week:	Mon Tue Wed Thu Fri Sat Sun
*Dress Code: Please note: Youth will be coming directly from their school. Therefore any accommodation for the school uniform is appreciated.	Business Casual Business Professional Casual Company Uniform School Uniform Acceptable
In order to assist in identifying candidates, please select three skills from each category below. While this is aimed at improving the matching process, we cannot guarantee that all interns will have a mastery of the skills that identified:
What three priority skills* will interns need to be successful at your worksite?	Computer (Internet, email, Microsoft Office) Office (copying/collating, faxing, filing, organizing materials) Telephone (answering calls, recording messages, responding to inqueries, other phone work) Data Entry Writing (research, drafting, editing, proofreading) Mathematics (finance, accounting, statistics) Visual Arts & Design (graphics, websites, drawing) Time Management (handling multiple tasks/projects) Working in Teams Working Independently
What three skills* will interns learn and/or gain from their internship at your worksite?	Computer (Internet, email, Microsoft Office) Office (copying/collating, faxing, filing, organizing materials) Telephone (answering calls, recording messages, responding to inqueries, other phone work) Data Entry Writing (research, drafting, editing, proofreading) Mathematics (finance, accounting, statistics) Visual Arts & Design (graphics, websites, drawing) Time Management (handling multiple tasks/projects) Working in Teams Working Independently
Have you already created a job description?	Yes Please upload file: No Worksite Sample Job Descriptions It is a requirement for all WorkReady School-Year Internship opportunities to have a job description. The job titles and descriptions listed below are general examples of job duties and functions for youth in specific industry areas. If you do not have a job description developed, please select from the options below. You may expand upon the job description before interns arrive at your worksite. All of the following duties will be performed in cooperation with an assigned supervisor, and/or in coordination with other members of staff. Additional duties may be assigned. Common skills recommended for all youth: Familiarity with computers, internet, e-mail, and Microsoft Office Administrative skills e.g. alpha/numeric filing, basic math, answering phones Grade level reading, writing, verbal communication skills Please select from the list below: Click here for Job Description details
Indicate if you have identified interns or would like to request they come from a specific school or program.	Please note: due to the funding of the School-Year program we are only working with the following schools in 2012-13, click here to see the list of schools. You have characters left. (Maximum characters: 500)
What additional documentation/clearances will be needed (to be coordinated and paid for by the employer)?	Check all that apply (leave blank if none): Criminal Background Child Abuse Clearance Drug Test Physical Other:
Meet and Greet Session The purpose of this session is to forge relationships with school based staff that will enhance implementation of the program. You will review program guidelines and logistics. Also included are break-out sessions for employers and assigned school partners to coordinate means of communication for the duration of the program. Date: Wednesday, November 28^th Location: Philadelphia Youth Network Offices, 714 Market St., Suite 304 - Philadelphia, PA Time: 9am - 11am
	Yes, I will attend the Meet and Greet Session. No, I will not attend.
Orientation and Interview Information
Orientations Worksite Orientations are a mandatory component of the WorkReady Internship program.
Please select one* Orientation date:	School-Year Internship Webinar (or hosted by employer) Wednesday, December 5th; 10:30am - 12noon School-Year Internship Webinar (or hosted by employer) Wednesday, December 12th; 9:30am - 11:00am School-Year Internship Webinar (or hosted by employer) Wednesday, December 19th; 3:00pm - 4:30pm Summer Internships In-Person Meeting Wednesday, January 9th; 3:00pm - 4:30pm
Interviews Employers will interview candidates before making final intern selection. Interviews for the school-year internship program will take place at your worksite unless otherwise arranged and will occur between 3pm and 6pm in late November through December. Once your worksite is connected to a school, the school coordinator will work with you to arrange the specific interview dates. The hiring process / best practices for interviewing high school interns.
Worksite Visit All worksites must be visited by a PYN representative prior to the WorkReady Internship program beginning. A completed Worksite Agreement will be signed and collected at this meeting. Please identify two dates between October and January and times that are convenient for you. The Business Partnership staff will do our best to accommodate one of the two selected dates and will otherwise follow up with additional suggested dates.
*Please identify two dates and times that are convenient for you.

Would you like the invoice to be sent to staff other than yourself?	Yes Finance Office Contact Name: Finance Office Contact Title:
Intern Information
*Number of Interns/ Available Positions:	WorkReady internship programs require a 1:3 supervisor to intern ratio. Therefore we ask that you list the additional supervisors at your worksite that will be working with your interns. Supervisor name #1: Supervisor name #2: Supervisor name #3: Supervisor name #4:
Interns Wage:	$8.00

Intern Information
*Number of Interns/ Available Positions:	WorkReady internship programs require a 1:3 supervisor to intern ratio. Therefore we ask that you list the additional supervisors at your worksite that will be working with your interns. Supervisor name #1: Supervisor name #2: Supervisor name #3: Supervisor name #4:
Ideal working hours: (i.e. 2pm - 5pm)*	Please note that interns will not report to work between March 25th thru March 28th due to Spring Break. Interns will return to work on March 29th.
*Days of the week:	Mon Tue Wed Thu Fri Sat Sun
*Dress Code: Please note: Youth will be coming directly from their school. Therefore any accommodation for the school uniform is appreciated.	Business Casual Business Professional Casual Company Uniform School Uniform Acceptable
In order to assist in identifying candidates, please select three skills from each category below. While this is aimed at improving the matching process, we cannot guarantee that all interns will have a mastery of the skills that identified:
What three priority skills* will interns need to be successful at your worksite?	Computer (Internet, email, Microsoft Office) Office (copying/collating, faxing, filing, organizing materials) Telephone (answering calls, recording messages, responding to inqueries, other phone work) Data Entry Writing (research, drafting, editing, proofreading) Mathematics (finance, accounting, statistics) Visual Arts & Design (graphics, websites, drawing) Time Management (handling multiple tasks/projects) Working in Teams Working Independently
What three skills* will interns learn and/or gain from their internship at your worksite?	Computer (Internet, email, Microsoft Office) Office (copying/collating, faxing, filing, organizing materials) Telephone (answering calls, recording messages, responding to inqueries, other phone work) Data Entry Writing (research, drafting, editing, proofreading) Mathematics (finance, accounting, statistics) Visual Arts & Design (graphics, websites, drawing) Time Management (handling multiple tasks/projects) Working in Teams Working Independently
Have you already created a job description?	Yes Please upload file: No Worksite Sample Job Descriptions It is a requirement for all WorkReady School-Year Internship opportunities to have a job description. The job titles and descriptions listed below are general examples of job duties and functions for youth in specific industry areas. If you do not have a job description developed, please select from the options below. You may expand upon the job description before interns arrive at your worksite. All of the following duties will be performed in cooperation with an assigned supervisor, and/or in coordination with other members of staff. Additional duties may be assigned. Common skills recommended for all youth: Familiarity with computers, internet, e-mail, and Microsoft Office Administrative skills e.g. alpha/numeric filing, basic math, answering phones Grade level reading, writing, verbal communication skills Please select from the list below: Click here for Job Description details
Indicate if you have identified interns or would like to request they come from a specific school or program.	Please note: due to the funding of the School-Year program we are only working with the following schools in 2012-13, click here to see the list of schools. You have characters left. (Maximum characters: 500)
What additional documentation/clearances will be needed (to be coordinated and paid for by the employer)?:	Check all that apply (leave blank if none): Criminal Background Child Abuse Clearance Drug Test Physical Other:
Meet and Greet Session The purpose of this session is to forge relationships with school based staff that will enhance implementation of the program. You will review program guidelines and logistics. Also included are break-out sessions for employers and assigned school partners to coordinate means of communication for the duration of the program. Date: Wednesday, November 28^th Location: Philadelphia Youth Network Offices, 714 Market St., Suite 304 - Philadelphia, PA Time: 9am - 11am
	Yes, I will attend the Meet and Greet Session. No, I will not attend.

Online School-Year Internship Intern Request Form

Type of Registration

Company Information

Secondary Contacts

Intern Information

Worksite Sample Job Descriptions

Meet and Greet Session

Orientation and Interview Information

Orientations

Interviews

Worksite Visit

Intern Information

Intern Information

Worksite Sample Job Descriptions

Meet and Greet Session