Employer Registration Only

* Name of Organization/Employer:
* Type of Organization:  
* Organization Industry Sector (NAICS):
* Worksite Address:  
* City:  
* State: * Zip Code:
* Telephone: Fax Number:

* Name * Title: * Phone Number * Email
* Primary Contact:

* Alternate Contact:

If you have more than one work location, please complete a separate employer registration form for each location

* Do you have a Federal ID number?
* Has your organization participated in past CSSF Youth Work Programs?
* How many youth will your company hire?
Priority will be given for requests of 5 or more youths.

List occupations/jobs you have available:
Seeking young persons with career interests in...OccupationPostions availableDesired Age

For information call: 305-594-7615
CareerSource South Florida is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. All voice telephone numbers on this document may be reached by persons using TTY/TDD equipment via the Florida Relay Service at 711.