Passport to Prosperity
Employer Information Form

Please note that an asterisk(*) denotes a required field.

Please email the Passport to Prosperity program
at passport2prosperity@thelearningpartnership.ca
to correct or add any information to your opportunities.

Company Contact Information
This is information for our records only

*Company Name
 *Main Contact
 Web Site
*Address:
 *City:
 *Province:
*Postal Code:
 *Phone
 Fax
E-mail

Opportunity Information
This is information about the Opportunity.

* Opportunity Title:
 * Company Name:
* Contact Person: (will not show on the site)
 * E-mail:
* Start Date: (dd/mm/yyyy)
 
(Click the date icon to select a date)		 * Your Company wants to participate in:
(hold down on ctrl while clicking on all that apply (Windows) or the Command key (Mac))
* Industry Sector

Other:

* Description: (List your company name and address first. Please also consider including a contact name and telephone number because many teachers prefer to arrange placements by telephone, rather than by email. On a separate line, indicate the industry sector of your company/organization, e.g. Manufacturing, Retail, Food service, etc. Then, in a section headed "Opportunity Description," include a brief description of the duties/tasks/responsibilities the student would have and/or what types of interests students taking this placement should have. If you are able to accommodate students with special needs, please indicate what types of special needs can be accommodated. Once you have submitted your posting, we will add a brief description of your company/organization from your company website.)