Employment Application

Name*
First Middle Last
Cell Phone*
Home Phone*
Email*
Current Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Resume*
Cover Letter*
Portfolio (optional)
Desired Employment
Position applying for:*
Are you applying for...*
If applying for a part-time position, what days and hours are you available?
Would you be available to work overtime, if necessary?*
- Yes
- No
Are you available for work on weekends?*
- Yes
- No
If hired, what date can you start work?*

Personal Information
How did you hear about The New Children's Museum and this job opening?*
Have you ever applied to The New Children's Museum before?*
- Yes
- No
If yes, when?*
Why are you applying for work at The New Children's Museum?*
If hired, would you have a reliable means of transportation to and from work?*
- Yes
- No
Are you at least 18 years old?*
- Yes
- No
Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?*
- Yes
- No
If no, describe the functions that cannot be performed.*
Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination, and to skill and agility tests.

References
List below three professional references who have knowledge of your work performance within the last five years.
Name*
First Last
Phone*
Occupation*
Number of Years Acquainted*
Name*
First Last
Phone*
Occupation*
Number of Years Acquainted*
Name*
First Last
Phone*
Occupation*
Number of Years Acquainted*

Please read carefully, initial each paragraph and sign below.
I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.*
Initials
I hereby authorize The New Children's Museum to thoroughly investigate my references, work record, education and other matters related to my suitability for employment unless otherwise specified above. I further, authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release The New Children's Museum, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.*
Initials
I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and The New Children's Museum. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the foregoing are binding on the company unless made in writing and signed by me and The New Children's Museum's designated representative.*
Initials
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.*
Initials
Please sign below if all of the information above is correct.*
First Last

Step 1 of 6

Desired Employment

Personal Information

Education, Training and Experience

Employment History

References

Please read carefully, initial each paragraph and sign below.

Little Learners Club