Sparking Imaginative Learning

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Application Form

Contact Information

Availability & Position

How many hours of work are you seeking per week?

I prefer hours
I could be available as many as hours

Are you looking for full-time or part-time work?

Full-time

Part-time

Either

Please select your general availability

Do you REQUIRE public transportation?
(Answer "No" if you HAVE or have regular access to
a reliable car)

Yes No

Select the position(s) for which you are applying
(select all that apply)

Special Events Birthday Parties After-School Enrichment Programs
Summer Camps In-Class Workshops Additional Office Hours Other

Education & Experience

Highest level of education obtained
Current occupation
Attach your resume here (.doc, .docx, .pdf, .zip files only)
Please answer the following questions as completely and honestly as you can. The more information we have regarding your strengths, weaknesses, intentions, expectations, etc., the more accurately we can assess whether or not Mad Science is right for you!
Tell us about yourself
Please summarize your prior experience with children
Please summarize your past experience
What are your hobbies/interests?
What would others consider your greatest strengths?
What would others consider to be areas where you need improvement?
What do you see yourself doing 2 years from now?
Please feel free to add any other information about yourself that you feel may help us better understand you and your personal skills/abilities

ReferencesPlease list 3 references and contact information (include at least one professional reference)

	Contact	Phone	Relationship (eg: former employer)
1)
2)
3)

4 + 6 =

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