Georgia C.R.E.W. Employer Application

Are you a previous Georgia TeenWork Internship Program (GTIP) Employer?

Yes

Company Information

Company name as registered with the Georgia Secretary of State (required)

Information will be verified through the Georgia Secretary of State's Office

Email (required)

Website

Business Contact First Name (required)

Business Contact Last Name (required)

Business telephone number (required)

Company address (required)

County (required)

City (required)

State (required)

Zip Code (required)

If you answered "other" please specify Company type (required)

Georgia Secretary of State Registration Status

Not Applicable

Registered

Not Registered

Don't Know

Please Note: All partnering organizations, agencies and companies must be registered with the Georgia Secretary of State's office and must be in Active/Compliance before youth can begin their internship at their assigned worksites.

Internship Position Request

Number of Interns requested (required)

Note: Depending on youth intern participation and industry preference, your company may not be connected to the number of interns requested.

Youth Employment Site Information

Will you be hosting interns at multiple sites?

Yes

Please notify us if your company would like to employ youth interns at multiple sites.

Georgia C.R.E.W. Employer Application

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