WorkSource Connection Site Application BASIC ORGANIZATIONAL INFORMATION Question Title * 1. What is the name of the organization applying to be a WorkSource Connection Site? Question Title * 2. Please identify the names and titles of all staff who will be assigned to the Connection Site. Question Title * 3. What is the email address for the primary contact? Question Title * 4. Are you applying on behalf of an entire system (i.e. Seattle Public Library) or are you applying as a specific site (i.e. Seattle Public Library: Ballard Branch)? Entire system Specific site Question Title * 5. Does your organization currently have a website? Yes No Question Title * 6. If you have a website, what is the website address? Question Title * 7. What is the physical address of the proposed WorkSource Connection Site? If you are including multiple locations, please provide all location details. Question Title * 8. What hours and days is your proposed site(s) currently open? Next