Internship and Transitional Jobs Application
WIOA Internship Program
​
The WIOA Internship Program connects employers with motivated youth seeking real-world experience. These short-term, structured internships build workplace skills, provide hands-on training, and enhance employability. Interns are fully subsidized, with no cost to the employer.
For more information about the Internship program, click here.
WIOA Transitional Jobs Program
The Transitional Jobs Program is designed to assist individuals with barriers to employment—such as long-term unemployment or limited work history—by providing temporary, subsidized employment opportunities. These jobs are time-limited and focused on helping participants build confidence, develop job skills, and transition into unsubsidized
employment. Wage subsidies are available to participants, and transitional workers are at no- cost to the employer.
For more information about the Transitional Jobs program, click here.
Instructions: Please complete all items on this application. To facilitate your review, please prepare this application electronically, if possible.
Section 1: Business and Contact Information
1. Has your business participated in an Internship or Transitional jobs program with HempsteadWorks before?
If so, in what year(s)?
2. Will any currently employed individuals be displaced (even partial displacement such as reduction in hours) by the OJT trainee, intern, or transitional worker?
3. Is your company willing and able to provide the intern and transitional worker with the support they need to be successful in their training?
4. Is your business located in Nassau County, Suffolk County or New York City?
5. Will the intern or transitional worker be required to participate in sectarian or political activities?
Section 2: Internship / Transitional Job Details
Please indicate which training program you are applying for (select all that apply):
Is this position remote, hybrid, or in-person?
Job Description
Complete a separate description for each title below.
$
Job Description
Complete a separate description for each title.
Section 3: Worksite Conditions & Supervision
Name and Title of Supervisor Designated to Mentor Participant
Does the worksite comply with ADA accessibility standards?
Are there any safety concerns or specific physical demands for this role?
Are the facilities and equipment within the worksite where the intern or transitional worker will work safe (e.g., they do not present any obvious safety or health concerns)?
Section 4: WIOA Partnership Details
Are you willing to host youth or individuals with barriers to employment?
Are you open to providing feedback on participant performance to staff?
Would you consider hiring participants after the program ends?
Are you currently working with any other WIOA programs?
Your business is in compliance with and agrees to follow all local, state, and/or federal labor laws to participate in the program.*
Company Applicant Signature