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SkillBridge Complete Corporate Interest Form
Vets2PM
SkillBridge Complete Corporate Interest Form
Skillbridge Corporate Interest Form
As required by the DoD SkillBridge program office, for Vets2PM to assist you as your SkillBridge provider, we must gather the following information to report to the DoD SkillBridge Program office. As part of our service to you, we will complete all necessary paperwork with the information that you provide below. Once we do so, your company will receive an MOU from the DoD SkillBridge program office, for signature, indicating that you are authorized to participate in the SkillBridge program under Vets2PM. (*This information will remain confidential and will only be shared with the DoD SkillBridge program office.)
Name
*
First
Last
Phone
*
Email
*
Position Title
*
Company Name
*
Official Company Address:
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
CĂ´te d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
RĂ©union
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
TĂĽrkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Ă…land Islands
Country
Employer Identification Number (EIN):
*
How many years has your company been in business (or year established)?
Organization size:
*
200 or fewer employees
201-400 employees
401-600 employees
601-1000 employees
more than 1001Â employees
Organization type:
*
For Profit
Non or Not for Profit
County/Municipality/City government
State government
Federal government
Other
Please let us know below.
*
Is your organization a:
*
Fortune 1000 company
Fortune 500 company
Fortune 100 company
None of the above
Select military/veteran recruiting, employing, retention, or support awards your organization has been the recipient of:
*
Secretary of Defense Employer Support Freedom Award
Department of Labor's HIRE Vets Medallion Program
None of the Above
Other
Please let us know below.
*
Company Website Address
*
Does your organization primarily offer commission-based occupations/opportunities for Service members?
*
Yes
No
Unsure/Don't know
Is your organization a current federal contractor?
*
Yes
No
Is your organization a current defense contractor?
*
Yes
No
What Military Service(s) and/or DoD organization(s) are you supporting in your Defense contract (if applicable)?
*
How long is the period of your current DoD contract (if applicable)?
*
Confirm
*
I acknowledge
that you have or will put processes in place to obtain acknowledgment from the Service Member (intern) that he/she does not have official duties affecting the financial interest of your organization and will not act as an agent on behalf of your organization in representing the U.S. government.
What is the longest period of time that you would like to host a SkillBridge intern?
*
1-30 days
31-60 days
61-90 days
91-120 days
212-150 days
151-180 days
Select what terms and conditions you will require your SkillBridge intern to complete:
*
Sign non-disclosure agreement/NDA
Employment obligation contract (i.e., basic law enforcement training)
No terns and conditions
Other
Because the DoD SkillBridge program office will issue your company an MOU for signature for this program, please provide the following information: MOU Signature Authority (i.e., CEO, Company President, Owner, Executive Leader) Name:
Name
*
First
Last
Phone
*
Email
*
Position Title
*
Compliance POC (Human Resources or Legal Counsel)
Name
*
First
Last
Email
*
Enter Email
Confirm Email
Phone
*
Position Title
*
About Your SkillBridge Position
SkillBridge Intern or Resident Type
*
Project Management
IT/Cyber Professional
General Management/Entrepreneur
Business Development and Growth/Sales
Human Resources
Lean Six Sigma Green Belt
Something Else
How many interns or residents would you like per year?
*
If you have an individual already, let us know their name please.
Any notes you would like us to consider?
Does your organization take advantage of the WOTC for new Veteran hires?
*
Yes
No
Not sure
Does your organization need candidates with DoD security clearances?
*
Yes
No
Not sure
Does your organization have a formal Veteran hiring program?
*
Yes
No
Not sure
Does your organization reimburse employees for professional development/certification/training?
*
Yes
No
Not sure
What is the earliest date you would accept a resident or intern?
*
MM slash DD slash YYYY
How did you hear about our SkillBridge Program?
*
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