Application Form
*Indicates required fields
*Name:
*City:
*State:
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*Daytime Phone:
*and/or Evening Phone:
Contact me during:
Day
Evening
Doesn't Matter
*E-mail address:
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?
Full-time
Part-time
Either
Availability:
Sunday
Morning
Afternoon
Evening
Monday
Morning
Afternoon
Evening
Tuesday
Morning
Afternoon
Evening
Wednesday
Morning
Afternoon
Evening
Thursday
Morning
Afternoon
Evening
Friday
Morning
Afternoon
Evening
Saturday
Morning
Afternoon
Evening
Current occupation:
Highest level of education obtained:
Some High School
High School Degree or Equivalent
Some College
College Degree
Some Graduate
Graduate Degree
Other
Do you require public transportation?
Yes
No
Position you are applying for:
Specify (if applicable)
Special Events
Parties
After-school Enrichment Programs
Daytime In-Class Workshops
Additional Office Hours
Other
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 SchoolHouse Chess is right for you!
Tell us about yourself:
Please summarize your prior experience with children:
Please summarize your experience with chess:
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:
*Have you ever been convicted of a crime or a sex related crime?
Yes
No
Please list 3 references and contact information (include at least one professional reference)
Contact
Phone
Relationship
(eg: former employer)
Please feel free to add any other information about yourself that you feel may help us better understand you and your personal skills/abilities:
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