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EmployLNK Member Information
*
1.
Organization Name
(Required.)
*
2.
What is your organization's address? (If you have more than one address, please provide a primary address)
(Required.)
Address Line 1
Address Line 2
City
State
Zip Code
*
3.
Primary Contact
(Required.)
Primary Contact Name
Primary Contact Title/Role
Primary Contact Email
Primary Contact Phone
4.
Contact 2 (if applicable)
Contact 2 Name
Contact 2 Title/Role
Contact 2 Email
Contact 2 Phone
5.
Contact 3 (if applicable)
Contact 3 Name
Contact 3 Title/Role
Contact 3 Email
Contact 3 Phone
6.
Contact 4 (if applicable)
Contact 4 Name
Contact 4 Title/Role
Contact 4 Email
Contact 4 Phone
7.
Contact 5 (if applicable)
Contact 5 Name
Contact 5 Title/Role
Contact 5 Email
Contact 5 Phone
8.
Additional Contacts (if applicable) - Please provide their name, title/role, email and phone number)
*
9.
Please provide a short description that can be used to promote your organization to business partners and other EmployLNK members (about 100 words or 3-5 sentences).
(Required.)
*
10.
Please send your logo to Allison at ahatch@selectlincoln.org - please send as a .jpeg or .png.
(Required.)
I have sent my logo to Allison
I pinky-promise I will send my logo to Allison very soon
*
11.
What is your website address?
(Required.)
12.
Please describe your organization's structure.
Nonprofit or Not-for-profit
City Agency
State Agency
Federal Agency
Public-Private Partnership
Other (please specify)
*
13.
Please describe the populations your organization serves.
(Required.)
Veterans, Active Military, Retirees and/or their immediate family members
Low-income families
New Americans, including immigrants and refugees
Individuals who are incarcerated, formerly incarcerated, and/or serving a period of supervision on either probation or parole
Victims of domestic violence, dating violence, sexual assault and/or stalking
Individuals with language barriers
Individuals with disabilities or impairments
Please describe the populations you serve:
14.
Please estimate how many clients your organization serves in Lincoln annually.
Under 25
25-49
50-99
100-199
200-499
500-999
1,000-1,400
1,500-2,999
3,000-9,999
10,000+
15.
How do you help your clients connect to careers?
16.
Please add any other information that you would want businesses to know!
