Work Immersion Application

  • Work Immersion Application

    Please submit one (1) application for each participant you wish to enroll.

  • Before completing a Work Immersion Application, please review the Work Immersion Program Guide and then proceed below.

  • Employer Information

  • Note: Please provide the Employer Name and Address EXACTLY as they appear in the Ocean State Procures 'OSP' Vendor Portal. 

  • Employer Size:*
  • Entity Type:*

  • Note: Government/Public Agencies are not eligible to participate in Work Immersion. 

  • Organization Ownership/Leadership*
  •  -

  • Participant Information

  • Note: A non-Rhode Island resident may only participate in Work Immersion if they are a student or recent graduate at a Rhode Island high school, college, or training program.  

  • Participant Type:*
  • Name of College/Postsecondary School:*

  • Graduation Date (Past or Anticipated):*
     - -

  • Additional Participant Demographic Information

  • Age Range*
  • Education Level:*
  • Gender:*
  • Race/Ethnicity:*
  • Military/Veteran Status:*
  • Does the participant identify with any physical or mental disability or impairment?*

  • Internship/Work Experience Details

  • Participant's Work Immersion Start Date (Anticipated Date of Hire):*
     - -

  • NOTE: Employment may start at any time after this application is submitted, however, the submission of this application does not guarantee approval and the GWB cannot reimburse for wages earned prior to the start of a fully executed contract.

  • Anticipated Work Immersion End Date:*
     - -

  • NOTE: The Work Immersion experience must be a minimum of 80 hours. The maximum number of reimbursable hours is 400. 

  • NOTE: Participants must be paid an hourly wage of at least $20.00 per hour in the Work Immersion program. 

  • Is this Work Immersion experience relevant to the participant's interests or area of study?*
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  • Employer Attestations & Signature

  • By signing below, I attest that the information contained in this application is correct and accurate to the best of my knowledge. 

  • Optional Services/Engagement

    Other Workforce Programs and Services
  • Are you interested in posting future internship or experiential learning opportunities in the Rhode Island Experiential Learning Navigator (www.riexl.org)?
  • Are you interested in connecting with the Workforce Development Services Team at the Rhode Island Department of Labor and Training to learn about hiring supports, incentives, and resources?
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