Employer Sign-Up

Employer Name*

Address*

Street Address Address Line 2 City State ZIP Code

Contact Person’s Name*

First Last

(This is the person who is responsible for receiving official communication from 1st Job-Lincoln. This may or may not be the same person who will supervise the intern.)

Phone*

Email*

Intern’s Supervisor*

First Last

(This person should be the person we work most closely with during the intern’s employment.)

Phone*

Email*

AGREEMENTS BY CHAMPION EMPLOYER

We intend to offer an internship if a successful match is made. We plan to seek out __________ (# of) students to intern with our organization.*

*if you are unsure at this time which opportunity (internship or shadow experience) you will offer please enter a number for both options. We will check in before the job fair to confirm so students know what to expect:

We intend to offer a shadow experience if a successful match is made. We plan to seek out __________ (# of) students to shadow with our organization.*

*if you are unsure at this time which opportunity (internship or shadow experience) you will offer please enter a number for both options. We will check in before the job fair to confirm so students know what to expect:

We intend to employ the selected student(s) for __________ hours/week during the time period of: ___________________.*

(Example: minimum of 20 hours/week from June 3 – July 31.)

Check one*

We will pay Nebraska's minimum wage.
$/hour.

Please enter the pay rate per hour.*

i.e. 13.51

We agree to abide by the Fair Labor Standards Act in relation to the employment of interns, including child labor laws as applicable (e.g., placing in hazardous environments and/or students under the age of 16).*

We agree to provide a meaningful internship opportunity or shadow experience for the selected intern(s). To help facilitate this, my organization seeks an intern who has the following skills (check all that apply):*

We agree to provide a meaningful internship opportunity or shadow experience for the selected intern(s). To help facilitate this, my organization fits into the following career clusters (check all that apply):*

We agree to send the appropriate representative(s) to attend the Champion Employer job fair on April 9 from 3-5pm.*

Permission is granted to use our organization’s name and/or logo when press releases are submitted and posts are made to 1st Job-Lincoln’s social media sites (Facebook, LinkedIn, and Twitter).*

We agree to self report in follow-up surveys for project tracking and evaluation purposes*

By submitting this form, I am confirming that the information provided is true and correct to the best of my knowledge.

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Email

This field is for validation purposes and should be left unchanged.

1st Job-Lincoln 2025 Champion Employer Sign-Up

AGREEMENTS BY CHAMPION EMPLOYER

By submitting this form, I am confirming that the information provided is true and correct to the best of my knowledge.