Cohort 1 DC Inclusive Skills-Based Hiring Pilot Cohort Intake FormYour Email(Required) How many positions is your business currently hiring for?(Required) For each position please answer the following:Title of the position Full time or part time Full time Part time Salary/ Hourly wage Salary Hourly How long has this position been open? Does this position require any licenses, degree or certifications? How have you marketed the position to date? Do any of the positions you are currently hiring for have growth potential within your organization? Sign the Business Participant Agreement FY23 Talent Development Technical Assistance Business Participant Stipend Agreement STIPEND AMOUNT: $4,000 District Bridges and the Business Participant are entering into this Agreement to establish the terms of the FY23 Talent Development Technical Assistance Business Participant Stipend Agreement. The total stipend amount under this agreement shall not exceed $4,000. In the execution of this agreement, the business participant agrees to complete the following requirements and understands that the stipend payment is contingent upon the completion of all requirements outlined below. Business Participant Requirements: You must create a free Access Point account and complete the intake form. You must complete the 2 online courses on Access Point (25 minutes each, you can complete them on your own time) You must attend ALL of the following trainings: 1. One of the virtual kick-off meeting 2. The in-person training on August 14th, 2023 3. One of the virtual feedback sessions The same person representing your business must complete the 2 online courses and attend all 3 trainings. PAYMENT: The Business Participant can invoice for the stipend of $4,000 upon the completion of the last feedback session. District Bridges agrees to send payments by check or Electronic Funds Transfer to the participant within 60 business days of receiving the invoice and signed W-9 IRS Form. Payment will be made to the legal name of the participant’s business. The participant must submit a completed and signed W-9 IRS Form to receive any payment; a blank form is available online at https://www.irs.gov/pub/irs-pdf/fw9.pdf. INDEMNIFICATION: The Subgrantee agrees to defend and hold harmless District Bridges and its officers and employees from and against any claim, including the expenses of investigation and defense of such claim, arising out of or in any way connected with this stipend or the expenditure of stipend funds. LIMITATIONS: This Agreement constitutes the entire understanding and agreement between District Bridges and the Subgrantee and incorporates and supersedes any previous agreements or negotiations, whether oral or written. Nothing herein shall be construed to create an employer- employee relationship between District Bridges and the Subgrantee. This Agreement shall extend to and be binding upon the Grantee, its successors and assigns and all persons claiming under or through the Subgrantee business. The designation of “Subgrantee” shall include all persons liable for the return or repayment of any indebtedness or any part thereof, whether or not such persons have executed this Agreement. IN WITNESS WHEREOF, we have signed this Agreement as of its date.(Required) MM slash DD slash YYYY BUSINESS PARTICIPANT NAME:(Required) BUSINESS PARTICIPANT ADDRESS:(Required) Signature(Required)