Name:

City:

Email Address:

Phone Number:

Contact me during:

How did you hear about us?:

Are you looking for full-time or part-time work?:

Please select your general 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

Do you have regular access to a reliable car?:

Select the position(s) for which you are applying

Instructor

Highest level of education obtained: Some High SchoolHigh School or EquivalentSome College or UniversityCollege or University DegreeSome Graduate StudiesGraduate DegreeOther

Attach your resume here (.doc, .docx, .pdf, .zip only. The .rtf files won't work!):

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!

Have you performed in front of people before?:

Do you have experience working with children?:

What are your hobbies/interests?:

Please add any other information about yourself:

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

1st Reference

Contact Name:

Phone Number:

Relationship (eg: former employer):

2nd Reference

Contact Name:

Phone Number:

Relationship (eg: former employer):

3rd Reference

Contact Name:

Phone Number:

Relationship (eg: former employer):