subject_line
Stellar Academy Employment Questionnaire
Please fill out the form and press 'Submit Questionnaire' button when finished. This will be sent to our Staff Development Director and she will contact you for a follow up if a position is available.
Thank you for your interest in Stellar Academy!
General Information
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
Please enter your email again:
*
Job Position Details
Are you interested in Full Time or Part Time?
*
Full Time
Part Time
How many hours would you be interested to work in a week?
*
What is your work availability throughout the week?
*
Monday
Tuesday
Wednesday
Morning
Afternoon
Not Available
Morning
Afternoon
Not Available
Morning
Afternoon
Not Available
Availability
Morning
Afternoon
Not Available
Morning
Afternoon
Not Available
Morning
Afternoon
Not Available
*
Thursday
Friday
Morning
Afternoon
Not Available
Morning
Afternoon
Not Available
Availability
Morning
Afternoon
Not Available
Morning
Afternoon
Not Available
Positions - Please indicate which positions you would be interested in:
Infant Teacher (6wks -12mos)
*
Yes
No
Toddler Teacher (12-24 mos)
*
Yes
No
Care Giver (+24 mos)(nurture/care for physical/emotional health of children)
*
Yes
No
Teaching Specialist (+24 mos)(develop/deliver "developmentally appropriate lessons")
*
Yes
No
Teaching Specialists: Please indicate in which zones you are interested in teaching:
Discovery Zone (science/nature)
Yes
No
NASA (number sense)
Yes
No
Alphabet Soup (reading/writing)
Yes
No
Carnegie Hall (music/singing)
Yes
No
The Louvre (visual arts)
Yes
No
The UN (careers/cooperation)
Yes
No
Me, Myself & I (self awareness)
Yes
No
The Olympics (dance/sport)
Yes
No
Other
Do you need child care for your children?
*
Yes
No
If yes Age of Child 1
Child 2
Child 3
Comments on your qualifications/talents:
*
0/1000 characters