Employment Application

Your Name (required)

Your Email (required)

Home Phone*

Cell Phone*

Address*

Date of Birth*

Position Applying For*

Education Status*

College Attended/Attending*

Undergrad Major*

Year Graduating/Graduated from College*

Graduate School Attended/Attending, if applicable

Credentialed Teacher?*

YesNo

Do you have CPR Certification?*

YesNo

First Aid Certificate?*

YesNo

Please give a brief description of your work experience relevant to the position you are applying.* (DIRECTOR CANDIDATES ONLY. Counselors type "N/A")

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.*

Describe an unforgettable teaching experience you have had with a child.*

If you were a teacher or director of summer camp, what would your philosophy be?*

List 2 professional references, at least one of which is a recent supervisor in a position relevant to this position. Please include name, relationship, email address and phone number*:

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

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?*

YesNo

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

YesNo

What is your availability during the summer?

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 Terrific Scientific.*

I agree to allow Terrific Scientific to perform a background check.*

Questions or comments:

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