2021 Mosquito Surveillance Project Application
Email *
Last Name *
First Name *
Address - Line 1 *
City *
State *
Zip Code *
Cell Phone Number (with Area Code) *
If hired to work for the Mosquito Surveillance Project, I agree to allow my cell phone number to be shared with the other employees working for the project. *
What is your Major or Area of Interest? *
List of Biology Courses Completed & Grade Received *
Have you used a compound microscope? *
If yes, in what capacity have you used a compound microscope?
Have you used a dissecting microscope? *
If yes, in what capacity have you used a dissecting microscope?
Do you have a driver's license? *
Do you have a car? *
Have you ever used a biological key for species identification? *
If you have used a biological key, in what capacity have you done so?
Have you ever been involved in a scientific study? *
Do you have any relevant work experience applicable to this job? *
List any relevant work experience.
This job requires that you are able to lift 50 pounds. Are you able to do this? *
This study extends from the first week of June until mid-October. Are you available during this time frame? [Please Note: Preference will be given to those applicants who can work for the entire study.] *
If you are not available for the entire duration of the study (first week of June until mid-October), please explain your availability. (If you are available during this time frame, please skip this question.)
Are you available to work from June through October on Mondays and Wednesdays from 2 PM until 5 PM? *
Are you available to work from June through October on Mondays and Wednesdays from 7:30 AM until 2 PM? *
On certain Mondays, participants will be scheduled to drive specimens to the New York State lab in Albany. Are you willing and able to do this? *
I understand the individuals who work for the Mosquito Surveillance Project will be asked to drive to multiple locations throughout Orange County on Mondays, Tuesdays, Wednesdays, and Thursdays every week to set and/or pick up mosquito traps. *
If I am hired to work for the Mosquito Surveillance Project, I am understand that I am required to keep ALL information regarding the project CONFIDENTIAL. This includes information regarding the location of the mosquito traps and any data regarding mosquitoes that are found to be positive for a virus. *
All applicants must provide the names and contact information for at least 2 (two) references. Please provide the FIRST and LAST NAME of Reference #1 here: *
Reference #1 - Phone Number *
Reference #1 - Email Address *
In what capacity do you know Reference #1? (Examples: Professor, Employer, Volunteer coordinator at a organization where you volunteer) *
All applicants must provide the names and contact information for at least 2 (two) references. Please provide the FIRST and LAST NAME of Reference #2 here: *
Reference #2 - Phone Number *
Reference #2 - Email Address *
In what capacity do you know Reference #2? (Examples: Professor, Employer, Volunteer coordinator at a organization where you volunteer) *
In order for your application to be complete, you MUST submit your resume to Dr. Iannuzzi (at michele.iannuzzisucich@sunyorange.edu). Have you submitted your resume? *
I understand that applicants who do not submit a resume may not be considered for a position with the Mosquito Surveillance Project. *
I understand that submission of this application does NOT mean that I have been hired to work for the Mosquito Surveillance Project. In addition, I understand that individuals whose applications are complete, including submission of their resume, will be notified about whether or not positions are available. Finally, I understand that an interview may be required before any decisions are made regarding which applicants may be invited to join the study. *
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