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Charles City CareerChoice - Worksite Employer Request

  1. This form is for use by organizations and businesses who would like to participate as a work site for the CareerChoice Work Experience Program.   As a result, we ask that you please provide information on your organization and/or business.

    CareerChoice assists Charles City youth ages 14 to 24 in choosing a career, preparing for the career, and becoming a valuable and self-reliant member of the community. CareerChoice tailors its services to meet the needs and goals of each youth and works to create opportunities for their future success.


  2. Please indicate the type of organization/business.*
  3. Please indicate the preferred age(s) of program participants.*
  4. Leave This Blank:

  5. This field is not part of the form submission.