Partner Employer Survey

Page 1

Business Information

Thank you for your interest in supporting Thread students on their professional development journey! We hope that working with Thread students plays a role in your own professional journey and we are grateful to you for the time you're taking to let us know of your interest here. We are looking forward to possibly hosting students with you this summer. To ensure as much information as possible for both parties, please fill out the below.

If you have any questions, please contact Nyasha Wills Program High School Resource and Opportunity Manager - Thread: nyasha.wills@thread.org or 443-219-7317.

Name of Business

Street Address

City

State

Please do not use abbreviations if editing this field

Zipcode

Enter any special directions to find your office

If job location is different from office location, please note that here, as well as any other important information for locating the job site.

Have you worked with Thread before?

DAASI

Are you a DAASI employer?

YesNoDiveristy and Academic Advancement Summer Institute (DAASI) is a partnership between the Office of Student Pipeline Programs at Johns Hopkins University School of Medicine and Thread.

Are you able to host a student for five (5) weeks this summer?

YesNo

Will the student be working with any of the following?

Page 2

Contact Information

Partner Employer Contact

Supervisor First Name

Supervisor Last Name

Supervisor Email

Supervisor Phone Number

Youth Coordinator

Day to day direct supervisor of the student employee

Placement Coordinator First Name

Placement Coordinator Last Name

Placement Coordinator Email

Placement Coordinator Phone Number

There is an additional Team member who will be working with the student

YesNo

Team Member

Additional Team Member who will be helping mentor and supervise the high school students.

Team Member First Name

Team Member Last Name

Team Member Email

Team Member Phone Number

Youth Job Information

How many students do you wish to host?

If you hosted students last year, are you interested in re-hiring the same student(s)?

YesNo

Name(s) of Student(s) you are interested in re-hiring

Do you have an age preference for your student employee?

Would you be interested in having a Thread volunteer join you as an intern to support your management of Thread students?

Which areas does the work Thread youth will do focus on?

Enter a brief job description.

No more than three sentences

Work Environment

What kind of interpersonal interactions are held in your office space?

What kind of space will the student employee be working in?

What is the dresscode in your office?

Who will the student be working with?

How would you describe the management style of the person who will be primarily working with the student?

Questions, Comments or Concerns