ClubScientific: Science has never been this much fun!

Application for Employment

Use this form to apply for a position with our company. Please enter all information requested.
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* Required Items—Please Fill In All Required Items

Contact Information

* First Name

* Last Name

* Your Email Address

* Home Phone xxx-xxx-xxxx

Cell Phone xxx-xxx-xxxx

Work Phone xxx-xxx-xxxx

* Address

* City

* State

* ZipCode

Personal Information

* Date of Birth

* Are you married?

Yes

* Do you smoke?

Yes

* Position applying for?

Why do you feel that you would be a good fit for the position you are applying for?

Education Information

* Education Status

College

Undergrad Major

Year you graduated college

Graduate School

* Credentialed Teacher?

Yes

* Do you have CPR Certification?

Yes

* First Aid Certification?

Yes

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 in a classroom setting and/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 unforgetable teaching experience you have had with a child. (Max 200 words)

If you were a teacher or director of a summer camp, what would your philosophy be? (Max 200 words)

References / General Information

List two professional references, at least one of which is a recent supervisor in a postion relevant to this position. (Include: name, relationship to you, email address and telephone number)

* Reference #1

* Reference #2

Who do you know who might be interested in learning more about Club Scientific, LLC employment opportunities?

* Have you applied for a position with our company before?

Yes

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

* Have you ever been involved in an incident involving sexual or physical abuse of a child?

Yes

Miscellaneous Information

* Do you have any physical conditions or diseases that would affect your abilities to perform all camp and classroom duties?

Yes

If yes, please explain

What is your avaliability during the summer?

* All hired staff MUST attend a paid MANDATORY staff training. Dates will be announced. Will you plan to attend?

Yes

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 Scientific, LLC.

I agree to allow Club Scientific LLC to do a background check *

Comments

Questions or Comments

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* Required Items—Please Fill In All Required Items