Employer Work Site Survey

Position #1
Title*
Number of interns for this position:*
Position's BWC Classification Code
Job Description (Please fill out completely and be specific. This will help us match the job with the intern.)*
Restrictions/Requirements (If this is a childcare or medical facility, please identify the forms necessary for employment, like background check, medical statements, vaccination records, etc.) Also please include any orientation requirements.)*
Tentative work schedule for each intern*
Do you have another position to enter?*
- Yes
- No

Position #2
Title*
Number of interns for this position:*
Position's BWC Classification Code
Job Description (Please fill out completely and be specific. This will help us match the job with the intern.)*
Restrictions/Requirements (If this is a childcare or medical facility, please identify the forms necessary for employment, like background check, medical statements, vaccination records, etc.) Also please include any orientation requirements.)*
Tentative work schedule for each intern*
Do you have another position to enter?*
- Yes
- No

Position #3
Title*
Number of interns for this position:*
Position's BWC Classification Code
Job Description (Please fill out completely and be specific. This will help us match the job with the intern.)*
Restrictions/Requirements (If this is a childcare or medical facility, please identify the forms necessary for employment, like background check, medical statements, vaccination records, etc.) Also please include any orientation requirements.)*
Tentative work schedule for each intern*
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