JOB REQUEST FORM

The DREAMS Program offers employers the opportunity to host paid entry-level youth workers, ages 14-24. Employers must be located within the Cheyenne and Arapaho Tribes service area and commit to the full program duration from June 16 – July 25, 2025. Prior to job placement, youth participants will complete a 2-week Work Readiness Training from June 2 – 13, 2025.
Application Deadline: March 21, 2025.
One (1) Job Request Form Per YOUTH JOB TITLE.

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* 1. EMPLOYER INFORMATION

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* 3. Employer Contact Number

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* 4. Employer Physical Address

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* 5. Employer Normal Work Hours

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* 6. Employer Holidays and Closed Days (List dates during June 16 – July 25)

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* 7. Youth Job Information

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* 8. Number of Youth Requested

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* 9. Youth Job Description (Briefly describe or attach job description):

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* 10. YOUTH SPECIAL WORK ATTIRE NEEDED (check all that apply):

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* 11. YOUTH WORKER HOUR SCHEDULE

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* 12. YOUTH EMPLOYMENT REQUIREMENTS (check all that apply)

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* 13. ATTESTATION:

No individuals are on layoff from the same or any substantially equivalent job within the company or organization. No existing regular employees were terminated to create the vacancy that will be filled by the program participant (§407(f) of the Deficit Reduction Act; §181 of the Workforce Innovation & Opportunity Act; 20 CFR 667.270). The Worksite will comply with all applicable state and federal labor laws. I understand that monitoring or evaluation of the worksite by both the state and local representatives may occur. I understand that while an individual is placed on a work experience they cannot be engaged in any political activities, support any religious group, or promote or oppose unionization. DREAMS will be notified PRIOR to any changes in the above/attached Job Description.

I understand and acknowledge that the information provided is true and accurate, and that any false or misleading statements or information will void this Job Request. It is also understood that submission of the Job Request does not guarantee or promise a participant.

After submission of this application, you will receive an email from DREAMS staff. If an email isn't received, please contact DREAMS by email at dreamsgroup@cheyenneandarapaho-nsn.gov or call 405-422-7662.

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