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Employment Application

Use this form to apply for a position with our company. Please enter all information requested.

Contact Information
Email*
Name*
First Last
Home Phone*
Cell Phone*
Work Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Personal Information
Date of Birth*
MM slash DD slash YYYY
Position Applying For*
Why do you feel you would be a good fit for the position you are applying for?*
Education Information
Education Status*
College Attended*
Undergrad Major*
Year you graduated college:*
Graduate School Attended*
Credentialed Teacher?*
- Yes
- No
Do you have CPR Certification?*
- Yes
- No
First Aid Certificate?*
- Yes
- No
Work and Camp History
Please give a brief description of your work experience relevant to the position you are applying. You may paste work history from your resume.*
Please list your experience working with children in church, classroom or summer camp.*
Describe an experience in which you were either part of or led a successful team. Describe the situation,the actions you took and the results. (max 200 words)*
Describe an unforgettable teaching experience you have had with a child. (Max 200 words)*
If you were a teacher or director of summer camp, what would your philosophy be? (Max 200 words)*
References/General Information
List 2 professional references, at least one of which is a recent supervisor in a position relevant to this position:*
Name Relationship to You Email Address Telephone Number
Who do you know who might be interested in learning more about Club SciKidz employment opportunities?*
Have you applied for a position with our company before?*
- Yes
- No
How did you hear about this employment opportunity?*
If you were referred by someone, list them here:*
Have you ever been convicted of a felony or misdemeanor?*
- Yes
- No
Have you ever been involved in an incident involving sexual or physical abuse of a child?*
- Yes
- No
Miscellaneous Information
Do you have any thoughts/comments about your preferred location? Please go to our website for after school or summer camp location preferences.*
Do you have any physical conditions or diseases that would affect your abilities to perform all camp and classroom duties?*
- Yes
- No
If yes, please explain:*
What is your availability during the summer?*
Certification and Release
To the best of my knowledge and belief, the information given truly represents my background and experience. I understand that if I have knowingly or negligently misrepresented, falsified or omitted any information during the application process, I may be disqualified for employment consideration or dismissed from employment with Club SciKidz.*
- I agree to allow Club SciKidz to do a background check.
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Name	Relationship to You	Email Address	Telephone Number

Employment Application

Contact Information

Personal Information

Education Information

Work and Camp History

References/General Information

Miscellaneous Information

Certification and Release

Comments

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