New Worksite Interest Form for MN Valley Action Council Young Adult Program
Hello, Thank you for supporting our future workforce by considering being a Worksite!

For general questions, either connect with the contact in your area, or the Youth Services Coordinator, Sarah McDonald at (507) 345-2439.

Someone from your area from MVAC will be in touch with you shortly following your submission of the form.
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Business Name/ Potential Worksite Name
Name of Person Completing this Inquiry and your Job Title/Position at this potential Worksite.
Phone Number *
Email
What are the best ways to reach you? (Choose all that apply) *
Required
What County Is your Business In *
Brief Details/Important Details about the work you have available for a young adult. Ex: Cashier, Dishwasher, Farm Hand, IT related, child care aid, Residential Assistant/Dietary Aide, etc. and any minimum age you will accept
Do you need an interpreter? If yes, what language *
Required
Review the information below. These are agreements required by worksites. If you are still interested in being a worksite or wanting more information about being a worksite, Please submit this form and a representative from MVAC will reach out shortly. (Submitting this form is not the actual agreement, just an inquiry/request) *
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