THRU Works Employer Interest Form

1. Company Name *This question is required.

2. Person of Contact Name: *This question is required.

3. Phone Number: *This question is required.

4. Email: *This question is required.

5. Hours (# of work hours per week, full time/part time positions) *This question is required.

6. Hourly Pay Rate: *This question is required.

7. Job Title and Description(s) *This question is required.