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Instructor Application

  • Contact Information

  • Employment Interests

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  • Convictions are not an automatic disqualification from employment.
  • Education/U.S. Military Service

  • School Name & AddressMajorYears CompletedGPADegree/Diploma 
  • References

  • NameRelationshipEmailPhone 
  • Employment History

    Give employment record as completely as possible listing current or most recent employer first. Show unemployed or self-employed periods and indicate dates and comment on each period. Include part time or summer work.
  • FromTo 
  • StartEnd 
  • FromTo 
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  • FromTo 
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  • Acknowledgement

    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 .
  • Printing your First Name + Middle Initial + Last Name will act as your digital signature.
  • MM slash DD slash YYYY
  • Accepted file types: doc, docx, pages, odt, rtf, tex, txt, wpd, wps, pdf, Max. file size: 2 MB.
    If you have a resume you'd like to attach, please do so here. This is not required.
  • Max. file size: 2 MB.
    Please upload your cover letter here. You may also copy and paste the contents of your cover letter in the space below.

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The programs conducted by ClubScientific are not affiliated, sponsored, or endorsed by LEGO® Education or the LEGO® Group. LEGO®, the LEGO® logo, the Brick, DUPLO®, MINDSTORMS®, and WeDo® are trademarks of the LEGO® Group. ©2012 The LEGO® Group