EmployLNK Member Information Question Title * 1. Organization Name Question Title * 2. What is your organization's address? (If you have more than one address, please provide a primary address) Address Line 1 Address Line 2 City State Zip Code Question Title * 3. Primary Contact Primary Contact Name Primary Contact Title/Role Primary Contact Email Primary Contact Phone Question Title * 4. Contact 2 (if applicable) Contact 2 Name Contact 2 Title/Role Contact 2 Email Contact 2 Phone Question Title * 5. Contact 3 (if applicable) Contact 3 Name Contact 3 Title/Role Contact 3 Email Contact 3 Phone Question Title * 6. Contact 4 (if applicable) Contact 4 Name Contact 4 Title/Role Contact 4 Email Contact 4 Phone Question Title * 7. Contact 5 (if applicable) Contact 5 Name Contact 5 Title/Role Contact 5 Email Contact 5 Phone Question Title * 8. Additional Contacts (if applicable) - Please provide their name, title/role, email and phone number) Question Title * 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). Question Title * 10. Please send your logo to Allison at ahatch@selectlincoln.org - please send as a .jpeg or .png. I have sent my logo to Allison I pinky-promise I will send my logo to Allison very soon Question Title * 11. What is your website address? Question Title * 12. Please describe your organization's structure. Nonprofit or Not-for-profit City Agency State Agency Federal Agency Public-Private Partnership Other (please specify) Question Title * 13. Please describe the populations your organization serves. 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: Question Title * 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+ Question Title * 15. How do you help your clients connect to careers? Question Title * 16. Please add any other information that you would want businesses to know! Done
