Use this form to apply for a position with our company. Please enter all information requested. Contact InformationName* First Last Email* Cell Phone*Additional PhoneAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Personal InformationDate of Birth* Date Format: MM slash DD slash YYYY Position Applying For*After School InstructorVirtual Learning SupportFull Day Program InstructorWhich program would you prefer?* Science Cooking Technology/LEGO We offer cooking, science and technology & LEGO programs. We don't offer every program every time, but if given the choice, which would you prefer? Select all that apply.Why do you feel that you would be a good fit for the position you are applying for?*Education InformationEducation Status*Current High School StudentCurrently in CollegeNot in College, WorkingCollege GraduateCertified TeacherCollege Attended (if applicable)Undergrad Major (if applicable)Year you graduated/will graduate college (if applicable)Credentialed Teacher?*YesNoDo you have CPR Certification?*YesNoFirst Aid Certificate?*YesNoWork and Camp HistoryHave you ever been employed by a company/business/school where you worked directly with children?*YesNoIf yes, please list the name of the company/business/school, the address, and dates you worked there.Name of company/business/schoolAddressDates Please give a brief description of your work experience relevant to the position you are applying. (You do not need to recopy information from above.)*When working with children, what is your philosophy? (ie. things that are important, things you value)*Explain how you would create a welcoming and friendly environment for students.*Describe an unforgettable teaching experience you have had with a child. (Max 200 words)*Professional ReferencesFor references, please provide TWO PROFESSIONAL REFERENCES. **Professional references are supervisors, managers, teachers, coaches, mentors, pastors, etc. Please do NOT use family members, co-workers, and friends. **We only contact references by email, so you MUST include their email addresses. List 2 professional references, at least one of which is a recent supervisor in a position relevant to this position:*NameRelationship to YouEmail Address General InformationHave you applied for a position with our company before?*YesNoHow did you hear about this employment opportunity?*If you were referred by someone, list them here:Who do you know who might be interested in learning more about Club SciKidz employment opportunities?Have you ever been convicted of a felony or misdemeanor?*YesNoHave you ever been involved in an incident involving sexual or physical abuse of a child?*YesNoDo you have any physical conditions or diseases that would affect your abilities to perform all camp and classroom duties?*YesNoIf yes, please explain:What county are you interested in working in?*Anne Arundel CountyBaltimore CountyHoward CountyMontgomery CountyWhat is your availability? (days & times)*Full day programs run from approximately 8-5:30. After school programs generally run between the hours of 4pm and 7pm. Certification and ReleaseTo 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. CommentsQuestion or CommentsNameThis field is for validation purposes and should be left unchanged. Share this:FacebookTwitterPrintMoreRedditLinkedInPocketPinterestSkypeTumblr