P4E Employer Partnership Interest Form

P4E Employer Partnership Interest Form
Organization / Company Name*
Organization Type*

EmployerNonprofitGovernment AgencyEducational InstitutionOther
Website URL
Primary Contact Name*

First NameLast Name
Title / Role
Email Address*
example@example.com
Phone Number
Please enter a valid phone number.
Address, City, & State

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
How did you hear about LOHM?
Which population(s) are you interested in supporting?

Justice-impacted womenJustice-impacted individuals (general)Youth / Young AdultsReturning citizensOther
What type of partnership are you interested in?

Hiring / Employment OpportunitiesInternships or ApprenticeshipsJob Readiness Workshops or Guest SpeakingTraining or Certification SupportMentorshipProgram SponsorshipResource or In-Kind SupportOther
Are you currently hiring?

YesNoNot at this time, but interested in future opportunities
What types of roles or industries are available? (e.g., tech, customer service, construction, healthcare, administrative)
Are you open to hiring justice-impacted individuals?

YesYes, with certain considerationsInterested in learning moreNot at this time
Do you offer any of the following?

Remote or Hybrid RolesEntry-Level PositionsCareer Pathways / Advancement OpportunitiesSecond-Chance Hiring Policies
Why are you interested in partnering with LOHM?
What values or goals does your organization have that align with LOHM’s mission?
What level of involvement are you seeking?

One-time engagementShort-term partnershipLong-term partnership
Is there anything else you would like us to know about your organization or partnership interest?
Preferred method of follow-up

EmailPhoneVirtual Meeting
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