2023

BUSINESS REGISTRATION

If you have any questions concerning this registration form or general questions about the Summer Youth Works Program, please contact Paige Evans at

478-272-5546 or email membershipservices@dublin-georgia.com.

Business Name *

Business category *

Contact Person *

Mailing Address *

City *

State *

Zip *

Physical Address *

City *

State *

Zip *

Phone *

Email Address *

Number of Youth Employees you'd like to employ? *

Do you require your youth employee to be 18 years old? *

Yes

No

Is your company willing to accept a young person with a first-time non-violent felony? *

Yes

No

Description of the position(s) you will provide. *

Other important information that you would like to share with the Summer Youth Works Program? *

Please check that your business accepts the following items* *

I will host a youth employee(s) at my business from June 12th, 2023 until July 28th, 2023.

I understand that I will need to have a representative from my company present at the McGrath Keen, Sr. Conference Center at the Chamber of Commerce on May 10, 2023 starting at 3:00pm until 5:00pm for Interviews.

I understand all youth employees will be at least 16 years of age and enrolled in high school or a home school program.

I agree to pay youth employees a minimum of $8 per hour for a minimum of 32 hours of work a week for eight weeks through the company's payroll.

I understand that June 5th - 9th will be soft skills training and that I am responsible for paying the student for that first week (which is included in eight weeks listed above)

I understand that my company may require all youth employees to pass a pre-employment drug screening at my company's expense.

I understand that a youth employee(s) will be assigned to my business by the Summer Youth Works panel and I will not have final say in placement.

I understand that my company is required to attend the Summer Youth Works Wrap-Up ceremony on July 28th.