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Request Partner Employee Verification
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Partnership Organization
Alliance of Community Service Providers
Archdiocese of Philadelphia
AtlantiCare Health System
Bayhealth
BTI Group
Cardinal O'Hara High School
Catholic University of Lille, France
ChesPenn Health
Chester County Intermediate Unit
Chester Upland School District
Chester Water Authority
Christiana Care
City of Chester
City of Philadelphia (Return to Learning)
Cooper Health System
County of Delaware
Crozer-Keystone
CSC
Delaware County Community College
Delaware County Intermediate Unit (DCIU)
Department of Human Services
Diocese of Wilmington
Downingtown Area School Disctrict
EDSI
Elwyn
Evoluer House
Family Support Line
Gemma Services
Genesis Healthcare
Gloucester County Chamber of Commerce
Harcum College
Harford Community College
Hill International
Holman
Horizon House
Horsham Clinic
Independence Blue Cross Associate Advantage
Ivy Rehab
Keystone Health
Lancaster Behavioral Health
Lehigh Valley Health Network
Main Line Health
Malvern School
Mastery Schools
Mazzoni Center
Melmark
Mercy Catholic Med Center
Monroe Energy
Montgo Community College
Nielsen-Kellerman
OIC Career & Academic Development Institute
PA Counseling Services, Inc.
PAM Rehab
Penn Medicine
Penn-Delco School Disctrict
Pericles Law Center, Russia
Philadelphia Academy Charter High School
Philadelphia Housing Authority
Philadelphia OIC
Philadelphia Union
Ponessa Behavioral Health
Pyramid Healthcare
Rowan College of South Jersey
Septa
Sookmyung Women's University, South Korea
Swarthmore College
Temple University Heatlh
University of A Coruña, Spain
University of Calabria, Italy
University of Montevideo, Uruguay
University of Parma, Italy
University of the Itajaí Valley, Brazil
Upper Darby School District
Wesley Enhanced Living
YesCare Corp
YWCA Lancaster
YWCA Tri-County
YWCA Tri-County Area
Authorized Organization Representative First Name
Authorized Organization Representative Last Name
Authorized Organization Representative Title
Authorized Organization Representative Email Address
Elwyn Representative Email Address
Next Enrolled Term
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Student First Name
Student Last Name
Student Widener ID
(Seven Digits)
Which of the following best describe you (the student) as it relates to this partner organization?
I am an employee.
I am the spouse of an employee.
I am the dependant of an employee.
Employee's Name
By completing this form, I certify that I am employed by this partner organization.
By completing this form, I certify that my spouse/parent is an employee of this partner organization.
E-Signature
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