Engineering For Kids - APPLICATION & CANDIDATE PRE-INTERVIEW QUESTIONNAIRE
This application and pre-interview questionnaire will take approx. 20 minutes to complete.

Please note: If you are applying for a teacher position (lead or co-lead), expect between 4 to 10 paid hours per week (school year) or between 15 to 40 paid hours per week in the summer (assigned between 2 to 8 weeks).

There is opportunity for additional hours performing other administrative tasks; however, DO NOT APPLY if you expect and/or require more than 15 paid hours/week (during the school year).

Email address *
APPLICANT INFO
Name *
Last, First M.
Your answer
Email Address *
Your answer
Date Of Birth
MM/DD/YYYY. Will be required to run background check
Your answer
Social Security #
Will be required to run background check
Your answer
Current Street Address / Apt # *
Your answer
Current City *
Your answer
Current State *
Current Zip *
Your answer
Cellular # *
Your answer
PERMANENT (W-4) STREET ADDRESS / APT# (if different than above) *
Type "Same" if same as above
Your answer
PERMANENT (W-4) City *
Type "Same" if same as above
Your answer
PERMANENT (W-4) Zip *
Type "Same" if same as above
Your answer
PERMANENT (W-4) Home # *
Type "Same" if same as above
Your answer
PERMANENT (W-4) State *
BACKGROUND INFO
CERTIFICATIONS, LICENSES, SPECIALIZED SKILLS
GROUP EXPERIENCE - YEARS *
If Yes, Provide # of years. Otherwise, type "None"
Your answer
GROUP EXPERIENCE - # of Students *
If Yes, Provide largest group size. Otherwise, type "None"
Your answer
CERTIFIED TEACHER *
If Yes, Provide Expiration Date, And State. Otherwise, type "None"
Your answer
CPR *
If Yes, Provide Expiration Date, And From Whom. Otherwise, type "None"
Your answer
FIRST AID *
If Yes, Provide Expiration Date, And From Whom. Otherwise, type "None"
Your answer
DRIVER's LICENSE *
If Yes, Provide License #, Expiration Date, and State. Otherwise, type "None"
Your answer
DEFENSIVE DRIVING *
If Yes, Provide Expiration Date, And From Whom. Otherwise, type "None"
Your answer
PROFESSIONAL LICENSE(S) *
If Yes, Provide Expiration Date, And From Whom. Otherwise, type "None"
Your answer
EDUCATION
HS DIPLOMA / GED RECEIVED *
HIGH SCHOOL/GED SCHOOL NAME, CITY, STATE *
Your answer
YEAR HS DIPLOMA / GED RECEIVED *
YYYY
Your answer
HS / GED G.P.A *
X.X/4.0
Your answer
IN COLLEGE? *
COLLEGE DEGREE RECEIVED *
GRADUATE DEGREE RECEIVED *
COLLEGE SCHOOL NAME, CITY, STATE
List all Colleges, including Grad School
Your answer
COLLEGE G.P.A
X.X/4.0
Your answer
YEAR COLLEGE DEGREE RECEIVED/EXPECTED
YYYY
Your answer
MAJOR IN COLLEGE
WORK / CAREER EXPERIENCE
Please list your work experience for the past five years beginning with your most recent job held.
If you were self-employed, give firm name. Resume can be referred to for position and responsibility details.
COMPANY#1: POSITION HELD
Your answer
COMPANY#1: RATES OF PAY
Start $ - Finish $
Your answer
COMPANY#1: DATES FROM - TO
MM/YY - MM/YY
Your answer
COMPANY#1: REASON FOR LEAVING
Your answer
COMPANY#1: EMPLOYER NAME, SUPERVISOR NAME, CITY, STATE, PHONE #
Your answer
COMPANY#2: POSITION HELD
Your answer
COMPANY#2: RATES OF PAY
Start $ - Finish $
Your answer
COMPANY#2: DATES FROM - TO
MM/YY - MM/YY
Your answer
COMPANY#2: REASON FOR LEAVING
Your answer
COMPANY#2: EMPLOYER NAME, SUPERVISOR NAME, CITY, STATE, PHONE #
Your answer
COMPANY#3: POSITION HELD
Your answer
COMPANY#3: RATES OF PAY
Start $ - Finish $
Your answer
COMPANY#3: DATES FROM - TO
MM/YY - MM/YY
Your answer
COMPANY#3: REASON FOR LEAVING
Your answer
COMPANY#3: EMPLOYER NAME, SUPERVISOR NAME, CITY, STATE, PHONE #
Your answer
REFERENCES
Please list two references who can speak to your work ethic.
REFERENCE#1: NAME, RELATIONSHIP, LENGTH OF RELATIONSHIP, POSITION, COMPANY, CITY, STATE, PHONE # *
Your answer
REFERENCE#2: NAME, RELATIONSHIP, LENGTH OF RELATIONSHIP, POSITION, COMPANY, CITY, STATE, PHONE #
Your answer
LAWFUL
IF OFFERED A POSITION, CAN YOU SUBMIT LEGAL VERIFICATION OF YOUR RIGHT TO WORK IN THE UNITED STATES? *
List any traffic violations within the past 3 years. Include the date, violation, and penalty, starting with the most recent (excluding parking violations): *
Type None for zero
Your answer
Auto Insurance Company:
Your answer
Auto Insurance Policy number:
Your answer
Auto Insurance Policy Effective date:
MM/YYYY
Your answer
Auto Insurance Policy Expiration date:
MM/YYYY
Your answer
Have you ever been convicted of a misdemeanor or a felony, received deferred adjudication, or probation, pled guilty or no contest to any criminal offense, or been convicted in a military court-martial? *
Important: For purposes of employment with this Company, “conviction” includes sentenced to confinement, paid a fine, time served, placed on probation
Auto Insurance Amount of Liability Coverage:
Your answer
A criminal background check, including fingerprinting, will be made of all applicants for whom serious consideration for employment is given, at the expense of the applicant. *
note FL applicants: If fingerprinting has been done by a school district in the last 6 mo’s, a reduced cost of $15 for the background check paid by the candidate will be required.
All applicants may be tested for illegal drugs at any time during employment under our company, at the employee’s expense. *
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