Get Involved

SYEP Request Form

Take advantage of an extra pair of hands for the summer through our Summer Youth Employment Program (SYEP) at no cost to your organization! Bring aboard one or more youth ages 16-20 for 120+ hours over a six week period during the summer, beginning Monday, July 9, 2012.

Required *

DBA *

Federal ID (FEIN) *

Address *

Worksite Contact *

Contact Title *

E-mail *

Phone Number *

Fax Number *

Preferred Contact * Phone E-mail

Business Hours *

Number of Youth Requested *

Position(s) Require 18+ * No Yes

List Intern Hours Needed *

Can You Accomodate a Youth in Summer School? * No Yes

Will You Provide a Worksite Mentor? * No Yes

Will You Train if Needed? * No Yes

Intern Job Title(s) *

Job Detail/Skills Required *

If multiple positions exist at this location, please describe them separately (eg. a request for three interns, one as a clerical assistant, two involved in general maintenance).

I Can Provide at Least 120 of Work Experience per Intern * No Yes

I May Be Interested in Having My Interns Work More than 120 Hours * No Yes

Can Your Organization Hire an Intern Beyond the Summer Program? * No Yes

Additional Information/Requests

SYEP Employer Agreement Click Here

Thank you for allowing us to serve you!

You will be contacted in the near future with more information upon submission.

Questions or Comments? Please Contact:

Daniel Graves

Youth Placement Specialist, Rochester Works!

255 N. Goodman Street, Rochester, NY 14607

Phone: 585.258-3513 - Fax: 585.232-6033

E-mail: Daniel Graves