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Employer Intent to Participate e-Form

Please read the following statement carefully, fill in the blanks and click the button at the bottom to submit this form electronically.

"I have received, read an understand the guidelines for the WorkEthic Certification Program. I fully understand the requirements for the successful completion of all established criteria necessary for awarding of the certificate. Our business/organization pledges to recognize the WorkEthic Certification, and to implement it as a serrious criterion for our internship and/or standard hiring process."

If you desire more information on WorkEthic Certification, please close this page and follow the links for more information.

If you wish to proceed, please enter your company's information below:

Company Name
Web
Industry/NAICS No.
Federal Employer ID No.
Mailing Address
City
County
ZIP Code
Contact Name
Phone Number
Title
Email address
Please identify additional programs in which you would be interested in participating: (Please check Yes or No for each)
Job Shadowing Yes
No
Summer Jobs Yes
No
Co-op Yes
No
Speaking Engagements Yes
No
Volunteer Opportunities Yes
No
Mentoring Yes
No
Career Information Yes
No
Tours of Your Facility Yes
No
How do you plan to implement the use of the WorkEthic Certification into your hiring process?
By clicking the "Submit" key, you are adding your electronic signature to this electronic form. The form is non-binding but should serve as a statement of intent on your part. Thank you for your participation in the WorkEthic Certification program!
Economic Growth Center / 300 E. Main St. Suite 100 / Fort Wayne, IN  46802 / 260-459-1400 / Contact Us