Application Form

 
 
*indicates required fields
Name* 
What city do you live in* 
What state/province/region do you live in
Daytime phone*
and/or Evening phone*  
E-mail address*   
Contact me during
How did you hear about us
 
 
How many hours of work are you seeking per week*
 Hours  
Are you looking for full-time or part-time work*
Availability
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Current occupation
Highest level of education obtained
Attach your resume in Microsoft Word (.doc) or Adobe Acrobat (.pdf) format here
 
Do you require public transportation
Select position to apply for
Specify (if applicable)


 
 
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 experience with science
 
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 list 3 references and contact information (include at least one professional reference)
 ContactPhoneRelationship (eg: former employer)
1) 
2) 
3) 
 
Please feel free to add any other information about yourself that you feel may help us better understand you and your personal skills/abilities