Staff Employment  Application

Contact Information

For which staff position are you applying? Note: If no job title appears, there are no openings. *
 
Today's Date (MM/DD/YYYY) *
 
First Date Available to Work (MM/DD/YYYY) *
 
Title
 
First Name *
 
Last Name *
 
Middle Intitial
 
Current Address *
 
Email Address *
 
City *
 
State *
 
Zip Code *
 
Home Phone *
 
Cell Phone
 
Other Phone
 
I prefer to receive calls at (check all that apply) *
 Home
 Cell
 Other

General Information

Can you show proof of your eligibility to work in the United States? *
 Yes
 No
Are you the minimum working age of 18-years-old or older? *
 Yes
 No
The WonderLab building and grounds are smoke-free environments. Can you adhere to this policy? *
 Yes
 No
Are you a WonderLab Volunteer? *
 Yes, now
 Yes, in the past
 No
Have you ever been employed before by WonderLab? *
 Yes
 No
Specify job and employment dates *
 
 
Do you have friends or relatives already employed by WonderLab? *
 Yes
 No
List them and indicate relationship *
 
 
Other than a minor traffic offense, are you currently charged with or have you ever been convicted of a crime? *
 Yes
 No
Please explain in full *
 
 
 
 
Has your driver's license ever been suspended? *
 Yes
 No
Please explain in full *
 
 
 
 
Have you ever been suspended or discharged from employment? *
 Yes
 No
Please explain in full *
 
 
 
 

Education (Beginning With Most Recent)

Year(s) *
 
School *
 
Degree Obtained *
 
Major/Area of Concentration *
 
Graduated? *
 Yes
 No
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Year(s)
 
School
 
Degree Obtained
 
Major/Area of Concentration
 
Graduated?
 Yes
 No
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Year(s)
 
School
 
Degree Obtained
 
Major/Area of Concentration
 
Graduated?
 Yes
 No
----------------------------------------------------------------------------------------------------------------------------------------------
Year(s)
 
School
 
Degree Obtained
 
Major/Area of Concentration
 
Graduated?
 Yes
 No

Work Experience

Begin with most recent work experience
Job Title *
 
Start Date (MM/YYYY) *
 
End Date (MM/YYYY)
 
Responsibilities *
 
 
 
 
 
 
 
Reason for Leaving *
 
Employer *
 
Name of Supervisor *
 
Address *
 
Email Address *
 
City *
 
State *
 
Zip Code *
 
Phone *
 
May we contact this employer? *
 Yes
 No
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Job Title
 
Start Date (MM/YYYY)
 
End Date (MM/YYYY)
 
Responsibilities
 
 
 
 
 
 
 
Reason for Leaving
 
Employer
 
Name of Supervisor
 
Address
 
Email Address
 
City
 
State
 
Zip Code
 
Phone
 
May we contact this employer?
 Yes
 No
----------------------------------------------------------------------------------------------------------------------------------------------
Job Title
 
Start Date (MM/YYYY)
 
End Date (MM/YYYY)
 
Responsibilities
 
 
 
 
 
 
 
Reason for Leaving
 
Employer
 
Name of Supervisor
 
Address
 
Email Address
 
City
 
State
 
Zip Code
 
Phone
 
May we contact this employer?
 Yes
 No

Special Skills and Extracurricular Activities

Please detail your extracurricular or volunteer experience. *
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Describe special skills, experiences, qualifications or accomplishments. *
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Describe your computer proficiency. List specific software and your level of experience using it. *
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Please attach your resume and other relevant materials. If you have more than three documents you want to include, please add them to a compressed zip folder and upload.
 
Item #255
 
Item #256
 

References

Provide three non-family references and indicate their relationship to you (e.g., teacher, supervisor, etc.).   Each of your references must directly mail a letter of reference to WonderLab at 308 West 4th Street, Bloomington, IN 47404 or e-mail to executivedirector@wonderlab.org
Name *
 
Relationship to You *
 
Address *
 
Email Address *
 
City *
 
State *
 
Zip Code *
 
Phone *
 
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Name *
 
Relationship to You *
 
Address *
 
Email Address *
 
City *
 
State *
 
Zip Code *
 
Phone *
 
----------------------------------------------------------------------------------------------------------------------------------------------
Name *
 
Relationship to You *
 
Address *
 
Email Address *
 
City *
 
State *
 
Zip Code *
 
Phone *
 

Statement of Understanding and Additional Information

Is there any additional information you would like to provide?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Statement of Understanding: All employees are subject to a criminal background check, and employment is contingent on a satisfactory completion of this check prior to employment.   I certify that all information provided in this application is true, accurate, and complete. I understand that false, omitted or misleading information may result in rejection of this application or termination of subsequent employment. I understand that WonderLab may investigate all statements made on my application and release from liability former employers, institutions or persons providing such information to WonderLab. If accepted for employment with WonderLab, I agree to abide by all of its rules, regulations, policies and procedures. If employed, I understand that I may terminate my employment at any time without notice or cause, and that WonderLab may terminate or modify the employment relationship at any time without prior notice or cause. If employed, I understand that my employment is for no definite period of time and if terminated, WonderLab is liable only for wages and benefits earned as of the date of termination. By signing below, I voluntarily give permission for WonderLab to perform a background check to protect visitors, volunteers, and staff.
Item #60 *
 I read and agree with the statement above
Applicant's Signature *
 
Date (MM-DD-YYYY) *