Community Ventures Registration Form

IMPORTANT!  If you are currently seeking a job, please go to http://michiganworks.org/ for assistance.  Please do not fill out this registration form.

Are you registering for the Community Ventures program as an employer or as a partner?
Employer - A business willing to hire structurally unemployed persons in return for potential benefits.
Partner - An organization such as a foundation providing financial assistance or a non-profit providing screening and public assistance.

Please tell us about yourself.
First Name
Last Name
Job Title
Organization/Company Name
Location City
Location Zip Code
Office Phone Number
Email Address
Cell Phone Number (optional, to receive text messages)

Please sure to press the Submit Survey button below to complete your registration.

Click here to report a technical problem with this survey.