2021-2022 Host Employer Interest Form

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Email *

What is your name? *

Phone number(s) where it is best to reach you: *

Company/organization's name: *

Website for your company/organization: *

Where is your organization located? *

Give a brief description of the work your organization does. *

Describe the hiring needs you have. *

Does the position(s) you’re hiring for require any specific degree(s) and/or certifications? Please specify. *

Does the position(s) require previous work experience? Please specify. *

Is your company/organization able to sponsor work visas? (This is not required but is a frequent question of applicants.) *

Yes

Other:

If you end up hiring a Fellow, we require a program fee that is dependent upon the size and type of your company/organization. Please select one of the following: *

My company/organization has more than 60 employees

My company/organization has less than 60 employees

My company/organization is a nonprofit

Why are you interested in the Impact Fellowship? *

I have a new hiring need and am interested in filling it through the Fellowship.

I have a hiring need that I've had trouble filling in the past.

I am interested in what the Fellowship would provide my employee(s).

I would like to invest in my employee(s) to aid in their retention.

I believe in the mission of Generation WV and the Impact Fellowship.

Other:

Required

The Impact Fellowship is a unique program. We are not a recruitment agency but a nonprofit with a mission to grow West Virginia and move it forward. Tell us about what draws you to this program. *

I understand that as a Host Employer I would be obligated and am able to do the following: *

Provide annual compensation of at least $31,000 for any Fellow I employ

Either provide benefits to my Fellow(s) or give them a stipend to purchase on their own

Allow my Fellow(s) to work four days per week so that they can complete volunteer projects in their communities and attend quarterly retreats with the GWV staff and other Fellows

Commit to the general program timeline (August to August)

Provide a program fee paid to Generation WV to support recruitment and professional development costs. If I am an employer with fewer than 60 employees or a nonprofit organization, the program fee is $3,000. If I am an employer with 60 or more employees, the program fee is $6,000.

Required

How did you hear about us? (Check all that apply.) *

Facebook

Instagram

Twitter

Indeed

Profellow

Internet ad

University career services

Professor recommendation

Word of mouth

Career fair

Website

Organization

GWV staff

Other:

Required

If your response to the previous question involves a human referral, would you mind sharing their name or the name of their organization?

Any specific questions or comments you’d like us to consider before contacting you?

Submit

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