Employers – Michigan Works! Southeast

Opportunity Works Employer Form

Business Name(Required)

Business Address(Required)

Street Address Address Line 2 City State ZIP Code

Contact Name(Required)

First Last

Contact Job Title(Required)

Contact Email(Required)

Contact Phone(Required)

Type of Business/Industry(Required)

Types of Job Duties/Tasks Available(Required)

Typical Workdays and Hours(Required)

What age range are you comfortable hiring?(Required)

Participants are between the ages of 16-24 years old.

How did you hear about Opportunity Works?(Required)