Name:

City:

Email address:

Phone number:

How did you hear about us?:

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

Please enter your general availability (days of the week and times):

Do you have regular access to a reliable car?:

Select the position(s) for which you are applying

After-School Program Instructor

Summer Camp Instructor

Assembly and Birthday Party Presenter

Summer Camp Assistant

Highest level of education obtained: Some high schoolHigh school or equivalentSome college or universityCollege or university degreeSome graduate studiesGraduate degreeOther

Current occupation:

Attach your resume here (.doc, .docx, .pdf, .zip only. The .rtf files won't work!):

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!

Have you performed in front of people before? If so, please explain. :

Tell us about your experience working with groups of children. :

What are your hobbies/interests?:

Please add any other information about yourself: