Employer Intake
Create your employer profile so you can access your dashboard and manage applicants.
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BUSINESS
Business / Employer Name
Required
Employer Type
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Small Business
Family / Household
Nonprofit
PRIMARY CONTACT
Primary Contact Full Name
Required
Contact Email
Required
Contact Phone
City
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Bloomsburg
Danville
Berwick
Catawissa
Other
Zip Code
JOBS & SCHEDULING
Job Types Offered
Fast Food
Retail
Cleaning
Yard Work
Stocking
Dish/BOH
Tutoring
Babysitting
Other
Typical Shift Times
Weekdays
Weekends
Evenings
Mornings
Minimum Age Accepted
Maximum Weekly Hours
PAY
Pay Type
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Hourly
Cash
Either
Pay Range (Min)
MINOR COMPLIANCE
Can Employ Minors Legally?
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Yes
Needs Guidance
No
Will Assist With Working Papers?
Select...
Yes
No
Not Applicable
Understands Minor Labor Laws
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Yes
No
Needs Guidance
Restricted Tasks
No heavy lifting
No late evenings
No food handling
School-first priority
WORK SETUP
Work Location Type
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Private Home
Public Business
Supervised Facility
Adult Supervision Present During Work
Select...
Yes
No
Depends on Task
PREFERRED TEENS
Preferred Teen Age Range
14–15
15–16
16–17
Preferred Transportation
Walk
Bike
Ride
Public Transit
Preferred Availability
Weekdays
Weekends
Evenings
AGREEMENTS
Insurance / Liability Acknowledged
Insurance / Liability Coverage
Agrees to Follow State & Federal Child Labor Rules
Agree to School-First Scheduling
ACCOUNT & NOTES
Internal Notes
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