Morris/Sussex/Warren Workforce Disability Board - Employer Host Site Survey

The Morris/Sussex/Warren Workforce Development Board is excited to partner with local businesses to host individuals with disabilities for job shadowing experiences during the month of October. October is National Disability Employment Awareness Month (NDEAM). We are grateful to you for opening your doors for this valuable experience. Please fill out the details below, and we will contact you regarding any individuals with disabilities that match the positions you have available for job shadowing.

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* 1. Company Name

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* 2. Contact Person Name

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* 3. Contact Person Phone Number

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* 4. Contact Person Email Address

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* 5. Address of Host Site

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

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* 6. Address of Additional Host Site (if more than one location)

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

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* 7. Please describe the types of positions that are available for shadowing (e.g. janitorial, administrative professionals, IT, sales, culinary, etc.)

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* 8. Please describe any additional requirements you may have for participating individuals with disabilities (e.g. signed waiver, certain type of dress, safety requirements, etc.) or any requirements for specific shadowing experiences (e.g. COVID-19 vaccination).