Copy of MAD Club Program Director application

First Name *

Last name *

Home address (line 1) *

Home address (line 2)

City *

State *

Zip *

Best telephone number to get ahold of you *

Email address

Are you still in school? *

yes

What's the highest level of schooling you have completed? *

Where? *

What is/was your major? *

Birthday (mm/dd/yy) *

Do you have siblings? If so, how many? *

Where were you in the birth order? *

Why do your want to work for us? What attracted you to this position? *

What is the single most important message we can give teenage girls? *

What kind of organizational or leadership experience have you had with junior high age girls? *

Tell us about yourself...your story? *

What was your biggest struggle growing up? *

What's your biggest struggle now? *

What do you wish someone had told you or done for you during your middle school years? *

Do you have any certifications? (First aid, CPR, Wilderness First Responder, etc)

Give us some examples of your creative/imaginative side...how you can think outside-the-box. *

What is your current job situation? *

What are three unique gifts you would bring to this program? *

Please provide names and contact information for 3 references. They can be employers, teachers, coaches, fiends, etc. They cannot be family members unless they were your employer. *

Share a life-transforming event in your life *

Are you left-handed or right-handed? *

Left

Right

Please indicate which days you are applying for. You can apply for 2 or 4 days. *

Monday

Tuesday

Wednesday

Thursday

Please upload your resume if you have one

If you would like to upload any additional document, please do it here

Anything else you'd like us to know? *

This position starts at $18/hr for 3.5.hrs/day (2:30-6:00)