Step-Up Omaha Employer Partner Application
Thank you for taking the time to learn more about Step-Up Omaha!, a nationally recognized youth employment and workforce development initiative serving young people ages 14–21 across the Omaha community. We are reaching out to invite your organization to explore a partnership with Step-Up Omaha!. Whether on a short-term or long-term basis as part of the upcoming program year.
Step-Up Omaha works alongside employers across the private, nonprofit, and public sectors to provide structured, supervised work experiences that support professional skill development, career exposure, and workplace readiness for youth. Employer partners play a vital role in shaping these experiences while contributing to a stronger, more prepared local workforce.
By completing this Employer Application, you are taking the first step toward joining a collaborative network of organizations committed to investing in the next generation of talent. Step-Up Omaha partners offer supported worksites that emphasize mentorship, skill-building, and real-world learning, while receiving ongoing guidance, coordination, and technical support from our program team throughout the program year.
Many of our employer partners begin with a single placement or program cycle and choose to expand their involvement over time as capacity and alignment grow. All applications are reviewed to ensure alignment with Step-Up Omaha’s program standards and commitment to providing safe, high-quality learning environments for youth. We appreciate your interest and look forward to reviewing your application.
SECTION 1: ORGANIZATION & PRIMARY CONTACT INFORMATION
Date:
*
-
Month
-
Day
Year
(mm/dd/yyyy)
Organization / Company Name:
*
Organization Address:
*
Company Website:
*
Primary Contact Person:
*
Title / Role:
*
Phone Number:
*
(+1 ___ ___ ____)
Format: (000) 000-0000.
Email:
*
example@example.com
Is this individual the direct supervisor for the intern(s)?
*
Yes
No
If you marked yes, will this individual be on-site during intern work hours?
*
Yes
No
Will interns have a designated mentor in addition to their supervisor?
*
Yes
No
SECTION 2: DIRECT SUPERVISOR / MENTOR INFORMATION
(Complete only if the Primary Contact is NOT the intern’s direct supervisor or if their is an additional mentor assigned)
Direct Supervisor/Mentor Name:
Direct Supervisor/ Mentor Title:
Direct Supervisor/ Mentor Email:
example@example.com
Direct Supervisor / Mentor Phone Number:
(+1 ___ ___ ____)
Format: (000) 000-0000.
Will the direct supervisor / Mentor be on-site during intern work hours?
Yes
No
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SECTION 3: WORKSITE & ORGANIZATIONAL INFORMATION
Worksite Location (Address intern will be working.):
(Please list all locations where interns may be placed if different from the provided business address)
Hours of Operation:
Example: Monday: 9:00 AM – 5:00 PM; Tuesday: 9:00 AM – 5:00 PM; Thursday: 6:00 AM – 2:00 PM
Industry / Field of Work:
*
Please Select
Community Organizations & Non-Profit Sector
Government & Public Sector
Education & Childcare Services
Healthcare & Medical Services
Fitness, Recreation & Event Management
Professional & Business Services
Food Service & Hospitality
Personal Care & Beauty Services
Social Services & Housing
Retail & Specialty Services
Automotive Services
Community Development & Real Estate
Warehouse & Distribution
Manufacturing & Production
Technology & Information Services
Financial Services
Construction & Skilled Trades
Other: ________________
Select all that apply
Other:
Briefly describe your organization's mission statement.
*
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SECTION 4: COMPLIANCE & WORKPLACE REQUIREMENTS
Does this position require a background check?
*
Yes
No
Does this position require drug testing?
*
Yes
No
Are there any age-specific restrictions or legal requirements for this worksite?
Yes
No
If yes, please explain:
Is this worksite accessible and compliant with ADA accommodations?
Yes
No
Not Sure
SECTION 5: INTERNSHIP PLACEMENT DETAILS
Number of Interns You Can Host:
*
Please Select
1
2
3
4
5
6
More than 6
If you plan to host more than 6 interns, please enter the total number here:
SECTION 6: PREFERRED INTERN AGE GROUP
Select all that apply:
16-18
18-21
19-21
Open to multiple age groups
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SECTION 7: JOB DESCRIPTION & LEARNING EXPERIENCE
Please attach or provide a complete job description.
Is your organization a returning Step-Up Omaha Employer Partner?
*
Yes
No
Job Title:
*
Key Duties & Task:
*
Skills/Knowledge Interns Will Gain:
*
Summary of Responsibilities:
*
Work Hours & Schedule:
*
(Include days, times, and flexibility if applicable)
Dress Code / Workplace Expectations:
*
Supervisor / Mentor Oversight Plan:
*
(How interns will be trained, supported, and evaluated)
Please attach a job description in PDF or Word format for each available position.
*
Browse Files
Drag and drop files here
Choose a file
(PDF or Word document)
Cancel
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SECTION 8: LENGTH OF PARTNERSHIP COMMITMENT
How long is your organization willing to commit as a Step-Up Omaha Employer Partner?
*
One Summer (Seasonal Only)
One Year
Two Years
Three Years
Four Years
Five Years
5 years or beyond (Open to long-term, ongoing partnership)
SECTION 9: FUNDING DETAILS
How will this intern position be funded?
*
Subsidized (Funded in full through Step-Up Omaha funding sources)
Unsubsidized (Employer-Funded / Payroll-Based)
Combination (Partially Subsidized & Partially Employer-Funded)
Stipend-Based
Grant-Funded (Non-Step-Up Omaha funding source)
Other
Estimated hourly wage or stipend amount:
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AUTHORIZATION & ACKNOWLEDGMENT
By submitting this application, I certify that the information provided is accurate and that our organization agrees to comply with Step-Up Omaha policies and provide a safe, supportive, and supervised work environment for interns.
Authorized Representative Name:
*
Title:
*
Signature:
*
Date:
*
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: