Use this form to apply for a position with our company.Contact InformationName* First Last Email* Home Phone*Cell Phone*Work Phone*Address* 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 InformationHow did you hear about this employment opportunity?*Former Club SciKidz EmployeeFriend/Family/Co-WorkerSearch EngineSocial MediaSchoolOtherIf you were referred by someone, list them here:Position Applying For*Camp DirectorCamp CounselorIn-School Field Trip Instructor / Science AssembliesWhy do you feel that you would be a good fit for the position you are applying for?*Please list your age group preferences. List your most preferred first.PreK & K1st - 3rd Grade4th - 6th GradeDrag and drop them into order. Please note that this will not necessarily be the camp age you are assigned.Please list any of our camps that you believe you have specific experience in*Club SciKidz Camp NameSpecific Camp Experience for the Camp Education InformationEducation Status*Currently enrolled in collegeUndergraduate DegreeGraduate DegreeDoctoral DegreeCollege Attended*Date Graduated or Projected Date:* Undergrad Major*Graduate School AttendedDate Graduated or Projected Date: Certified Teacher?*YesNoAre you CPR Certified?*YesNoFirst Aid Certified?*YesNoWork and Camp HistoryPlease 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 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. (max 200 words)*What strategies would you use if you notice a child becoming disinterested or disengaged in your activity for the day?*Describe an unforgettable teaching experience you have had with a child. (Max 200 words)*If you were a teacher or director of summer camp, what would your philosophy be? (Max 200 words)*Professional Reference #1List two professional references, at least one of which is a recent supervisor in a position relevant to this position. Please note that they will be contacted directly.Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Email* Enter Email Confirm Email Phone*Years Known*Less than 1 year1 year2 years3 years4 years5 or more yearsIn what capacity did they know you?*Professional Reference #2List two professional references, at least one of which is a recent supervisor in a position relevant to this position. Please note that they will be contacted directly.Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Email* Enter Email Confirm Email Phone*Years Known*Less than 1 year1 year2 years3 years4 years5 or more yearsIn what capacity did they know you?*Certification and ReleaseI am aware that I may be assigned any of the camp locations and confirm that I am able to do so.*YesNoHave 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?*YesNoTo 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 fingerprint background check.CommentsQuestion or CommentsNameThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.