Thank you for your interest in supporting Lansing-area youth through the Youth Opportunity Hub. This form will help us gather key information to share your opportunity with students and ensure safe, effective collaboration.
PARTNER INFORMATION

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1. Organization/Business Name

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2. Contact Person

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3. Title/Position

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4. Address

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5. Email

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6. Phone

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7. What is your preferred method of contact? (Check all that apply)

PROGRAM/OPPORTUNITY DETAILS

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8. Program or Event Name (if applicable)

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9. Please describe your opportunity/program in a few sentences.

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10. What type(s) of opportunity are you offering? (Check all that apply)

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11. What do students do, learn, or experience?

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12. When does this opportunity take place? Please be as specific as possible. (start/end date, summer, afterschool, days/times, etc.)

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13. Where is your opportunity located?

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14. How many students can you support at this time?

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15. Do you provide transportation or support with transit?

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16. Please provide a link to your program/opportunity:

SAFETY & READINESS

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17. Does your organization carry business liability insurance?

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18. Do you conduct background checks for all individuals working directly with youth?

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19. Would you be able to provide verification of background checks if requested?

ADDITIONAL INFORMATION

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20. Is there anything else we should know about your program, goals, or interest in the Hub?

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