Job Application Form - for "Science Activity Instructor"

* Mandatory Areas

First Name:*

Surname:*

Daytime phone:*

Mobile/evening phone:*

Email:*

Which Council/Borough do you live in:*
(so we know which areas you could potentially cover)

Postcode of your residential address
(so we know which areas you could potentially cover)

Do you own a reliable car?*

Yes

Do you currently have a valid enhanced CRB (AKA: Criminal Background Check) that was issued within last 2 years *?
Yes	No	CRB Ref Number:

Did you have any formal First Aid training before*?

Yes

Current occupation:*

Highest level of education obtained?

Attach your CV in Microsoft Word format or Adobe Acrobat format (".doc" or ".pdf" extension,
not exceeding 500 kB)

How many hours of work are you seeking per week?*

Hours per week

Are you looking for full-time or part-time work?* (Multiple selections ok)

Part-time

Full-time

Availability?* (Multiple selections ok)

Monday	Morning	Afternoon	Evening
Tuesday	Morning	Afternoon	Evening
Wednesday	Morning	Afternoon	Evening
Thursday	Morning	Afternoon	Evening
Friday	Morning	Afternoon	Evening
Saturday	Morning	Afternoon	Evening
Sunday	Morning	Afternoon	Evening

Please tell us about yourself: (continue on another sheet if necessary)

Please summarise your experience with children: (continue on another sheet if necessary)

Please summarise your experience with science: (continue on another sheet if necessary)

What are your hobbies/interests: (continue on another sheet if necessary)

Please list 3 references and contact information: (include at least one professional reference)

Name	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: (continue on another sheet if necessary)

How did you hear about us?

If others/School-University: