2009 ARRA Summer Youth Employment Program

Business Name: *

Business Address: *

Name of staff completing survey: *

Business Telephone: *

Type of Industry *

Type of Business/Organization

Size of Business/Organization (Number of Employees)

Number of youth requested during employer registration: *

Number of youth placed at your business/organization: *

Were you contacted prior to youth reporting to your business/organization?

Yes

No

N/A

Describe your satisfaction level of professionalism from the summer provider staff providing services to your business/organization?

Very satisfied

Satisfied

Somewhat Satisfied

Unsatisfied

Was the summer provider staff available to provide assistance throughout the summer program?

All the Time

Sometime

No, was not available

How satisfied were you with the work ethics of the youth and their job performance?

Very Satisfied

Satisfied

Somewhat Satisfied

Unsatisfied

Overall, how satisfied are you with the services you received during the summer program?

Very Satisfied

Satisfied

Somewhat Satisfied

Unsatisfied

Would you recommend the summer youth employment program to other employers? *

Yes

No

Would you participate in another summer youth employment program? *

Yes

No

Did your business do any of the following as a result of the summer program? (check all that apply)

Hired The Youth

Interviewed The Youth

Provided A Letter Of Recommendation

Referred to Another Employer

Please provide name(s) of the youth who were hired:

Other comments:

Youth