Rapid Recovery for a Stronger South Bend - Elkhart Workforce
Employer Sign-up Form
Respondent Information
Your First Name
Your Last Name
Your Position/Title
Your Email
example@example.com
Company Information
Company Name
Company Industry (Select one)
Advanced Manufacturing
Building & Construction
Healthcare
Life Sciences
IT & Business Services
Transportation, Distribution, & Logistics
Other
Company Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company County of Operations
Elkhart
Marshall
St. Joseph
Other
Human Resource and/or Workforce Training Lead
First name of your company's HR or training point of contact.
Last name of your company's HR or training point of contact.
Please provide position/title of your company's HR or training point of contact.
Please provide the phone number for your company's point of contact.
Please provide the email for your company's point of contact.
example@example.com
Employee Information
Please indicate the total number of individuals employed by your company. Omit individuals on furlough and/or lay-off.
Does your company currently have any staff on furlough and/or lay-off?
Yes
No
Number of employees furloughed and/or on layoff: Please indicate the current number of individuals on furlough and/or lay-off.
Is your company considering retraining individuals currently on furlough/lay-off via the available Next Level Jobs training opportunity?
Yes
No
Has COVID-19 impacted operating practices of your company?
Yes
No
How would your company describe the impacted operating practices?
Please indicate your interest related to the Next Level Jobs training fund.
My company would like to apply for training funds to retrain incumbent employees, that are currently working.
My company would like to apply for training funds to retrain employees currently on furlough and/or lay-off.
My company is interested, generally, but would like to find out more information about available training funds.
Please share any questions or other information that you would like to request.
Rapid Recovery Form Complete?
Yes
Submit
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