MAYOR'S YOUTH ACADEMY

MAYOR'S YOUTH ACADEMY

2023 Summer Work-Based Learning Program
Company/Organization
Primary Contact's Name
Primary Contact's Title
Primary Contact's Email
example@example.com
Primary Contact's Phone

Area CodePhone Number
Company/Organization's Address
Is there a bilingual staff member who could support a bilingual MYA participant during the summer?

YesNo
Language(s)
Partner Commitment

Host Mayor's Youth Summer Work - Based Learning Intern(s)Hire Mayor's Youth Academy Summer Work - Based Learning Intern(s)
Work Assignment Details

To be completed by companies/organizations who wish to host or hire youth. If you have multiple job assignments, please complete a separate form for each assignment.
Work Assignment Job Title
Job Site Address
Number of Youth Requested
Please share your desired daily hours you would like the youth to work (ex. Monday- Friday 8am - 4pm)
Please note schedule may be subject to change
Brief Job Description List job functions/duties, equipment used or operated, any special physical demands, working conditions, etc.
First Day Instructions
Who should they report to? Where should they park? Will they have to sign in with someone? etc.
Attire
Business Casual Attire? Casual? Etc. Please be as specific as possible
Skills Needed
Technical Skills

Computer (Microsoft Office, Google Apps, Email)Office (copying, scanning, faxing, filing, organizing materials)Telephone (answering calls, recording messages, responding to inquiries, other phone work
Non-Technical Skills

Communication (verbal/oral/writtenHandling multiple tasks/projectInterpersonal (collaboration, working in a group or working independently)
Other Specifications
Signature(s) The signature below confirms the company's/organization's commitment to the request above:
Printed Name/Title
Authorized Signature

Clear
Date

MonthDayYear
Date
City of Richmond- Mayor’s Youth Academy

701 N. 25th Street, Richmond, VA 23223

804-646-7933

MayorsYouthAcademy@rva.gov
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MAYOR'S YOUTH ACADEMY

Work Assignment Details

Skills Needed

Signature(s) The signature below confirms the company's/organization's commitment to the request above: