Youth Worksite Program Application
The Town of Hempstead Department of Occupational Resources (DOOR) implements work experience programs for eligible youth who are Town of Hempstead/City of Long Beach residents, aged 16-20, and low-income. Youth are placed in various worksites within the area and serve as interns. Youth are paid $17 per hour by HempsteadWorks and can work up to 30 hours per week.​
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To be eligible, please ensure that your worksite meets the requirements listed here:
✓ Has business operations and jobsites located in Nassau County, Suffolk County and New York City
✓ Can provide a Federal Employer Identification Number (FEIN)
✓ Is in compliance with and agrees to follow all local, state, and federal labor laws ✓ Is neither a temp agency nor offers commission-based work
✓ Currently employed workers will not be fully or partially displaced by a Youth Intern
As a worksite for youth employment programs, each worksite will be responsible for the following:
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Assigning staff to supervise youth interns
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Providing youth with a brief orientation on their worksite duties, attendance policies, etc.
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Gathering youth’s timesheets and submitting them to DOOR on a biweekly basis
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Monitoring youth attendance, punctuality and job performance
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​Creating a skills development plan for the youth intern and ensuring they meet the established goals throughout their placement.
To become a worksite for youth employment programs, please complete the worksite application below and upload a W-9, as well as a detailed job description(s), on your company letterhead, of the work in which youth interns will be engaged. Applications are reviewed on a rolling basis..
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Please note that submission of an application does not guarantee that youth with be placed at your establishment.
The Town of Hempstead Department of Occupational Resources (DOOR) implements work experience programs for eligible youth who are Town of Hempstead/City of Long Beach residents, aged 16-20, and low-income. Youth are placed in various worksites within the area and serve as interns. Youth are paid $17 per hour by HempsteadWorks and can work up to 30 hours per week.​
​
To be eligible, please ensure that your worksite meets the requirements listed here:
✓ Has business operations and jobsites located in Nassau County, Suffolk County and New York City
✓ Can provide a Federal Employer Identification Number (FEIN)
✓ Is in compliance with and agrees to follow all local, state, and federal labor laws ✓ Is neither a temp agency nor offers commission-based work
✓ Currently employed workers will not be fully or partially displaced by a Youth Intern
As a worksite for youth employment programs, each worksite will be responsible for the following:
​​
-
Assigning staff to supervise youth interns
-
Providing youth with a brief orientation on their worksite duties, attendance policies, etc.
-
Gathering youth’s timesheets and submitting them to DOOR on a biweekly basis
-
Monitoring youth attendance, punctuality and job performance
-
​Creating a skills development plan for the youth intern and ensuring they meet the established goals throughout their placement.
To become a worksite for youth employment programs, please complete the worksite application below and upload a W-9, as well as a detailed job description(s), on your company letterhead, of the work in which youth interns will be engaged. Applications are reviewed on a rolling basis..
​
Please note that submission of an application does not guarantee that youth with be placed at your establishment.
To apply for a business training program, please complete the application below.
Instructions: Please complete all items on this application. To facilitate your review, please prepare this application electronically, if possible.
A. Company Information
1. Please indicate the number of youth you can place for this program
2. To what sector does your business belong?
2a. If the applicant is a School District, can you take on youth participants that are not currently enrolled in any of the applicant’s schools?
3. Is your business Minority/Women-owned Business Enterprise (MWBE)?
4. To which industry does your organization belong (select all that apply)?
B. Company Background
1. Has your company relocated from another area in the U.S. within the last 120 days?
If so, were there any employees laid off at that former location?
2. How long have you been in business in this area?
3. How many full-time employees do you have?
4. Are any employees on layoff currently?
5. Have any WARN notices been filed within the past year?
6. Has your business sought WIOA/TGAA or other assistance in connection with past or impending job losses at other facilities during the past year?
7. Is your business currently engaged in any labor disputes with a labor organization?
8. Will any currently employed individuals be displaced (even partial displacement such as reduction in hours) by the youth intern?
9. Does the company have the necessary facilities, staff and equipment to provide quality training?
10. Are the facilities and equipment within the worksite where the youth intern will work safe (e.g., they do not present any obvious safety or health concerns)?
11. Is your company willing and able to provide the youth intern with the support they need to be successful in their training?
12. Is the worksite child-care related?
13. Will youth participants be instructed to work outside?
C. Job Position Information
1. Will the youth intern be required to participate in sectarian or political activities?
2. Would a youth's participation at your worksite provide opportunities for permanent employment and/or advancement within the company?
3. Will youth participants work on community service projects?
4. Will youth participants be instructed to handle dangerous tools (e.g. power tools or knives?)
5. Can your business hire individuals who are 16 and 17 years of age?
6. Please enter your availability for conducting youth interviews (days and times)
Please upload a detailed job description for the youth participants, in .doc or .docx format, on your company letterhead. The job description should include the proposed work schedule, specifying the days of the week and number of hours. Youth participants are entitled to a 30-minute lunch break and may not work more than 6 hours per day. Since the participants are young, please use simple, clear language that they can understand, and ensure the tasks are age-appropriate.
If you have more than one job description, please add them onto one document.
In addition to the job description, please upload your completed Vendor Responsibility forms, which can be accessed here (*this is the link to both*).
Vendor Responsibility Forms
Company Applicant Signature
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*“Affiliate” meaning: (a) any entity in which the vendor owns more than 50% of the voting stock; (b) any individual, entity or group of principal owners or officers who own more than 50% of the voting stock of the vendor; or (c) any entity whose voting stock is more than 50% owned by the same individual, entity or group described in clause (b). In addition, if a vendor owns less than 50% of the voting stock of another entity, but directs or has the right to direct such entity’s daily operations, that entity will be an “affiliate” for purposes of this questionnaire.