ClubScientific: Science has never been this much fun!

Employment Application Form

Use this form to apply for a position with our company. Please enter all information requested.
The VERIFY section is to control spam attacks and malicious scripts.
You must enter the characters in the verify box for the form to work.
USE YOUR TAB KEY TO MOVE FROM ITEM TO ITEM!
If you encounter errors with your data after submitting, please remember that you'll have to re-enter the verification code and all selections in the order portion of the form!

* 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

* Social Securty Number xxx-xx-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

High School

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 attending and/or working at a 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 the site 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?

For applicants currently living outside of Georgia, please be aware that you will have to meet with us before May of 2008 if you are considered for employment. Please list possible dates that you would by available.

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

Yes

How did you hear about this employment opportunity?

If you were referred by soumeone, 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

Please choose from the list below your top three geographic preference. (By selecting more than one option, you will increase you chances of being offered a position)

* Summer Science Day Camps: First Choice

Second Choice

Third Choice

Do you have any thoughts/comments about your preferred location?

* Do you have any physical conditions or a disease that would affect your ability to perform all camp duties?

Yes

If yes, please explain

What is your avaliability during the summer?

* Paid MANDATORY staff training will be held June 5-8, 2008. Will you be able to attend? (Checking NO will remove your application from consideration)

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 *

Verification and Comments

* Verify Verify

The form will not process unless you successfully enter the characters from the blue box in the field above. Case sensitive. If you encounter an error after clicking 'Submit', you will have to re-enter the verification code.

Questions or Comments

Please be patient, the form may take a few minutes. Only hit the submit button once.

* Required Items—Please Fill In All Required Items

FRANCHISE OPPORTUNITIES FRANCHISEE CONNECTION EMPLOYMENT SHELBY JEAN SCHOLARSHIP PRESS ROOM