PRE-SCREEN INTERVIEW APPLICATION

PRE-SCREEN INTERVIEW APPLICATION
All individuals (who have never worked with us before) interested in a position with LetGoYourMind STEM Programs must complete this application in full.

Items marked with an asterisk require a response.
PROFILE INFORMATION
Full Name*
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemale
Mailing Address*
Mobile Phone*
E-mail Address*
STAFF LOCATION (choose all that apply)

MassachusettsNew HampshireVermont
STAFF POSITION (choose all that apply)

Regional Director (24+)Program Director (21+)Lead Counselor (16+)Counselor (15+)CIT (volunteer/internship) (14+)
MANDATORY TRAINING & ORIENTATION
There are 2 mandatory PAID staff trainings that are a condition of your employment. They must be attended for you to work this summer (This includes CIT's).

Thursday, June 1st 6:30PM-8PM (zoom training for ALL staff/locations)
Saturday, June 3rd -OR- Sunday, June 4th 8AM-3PM (VT Staff will have a separate in-house orientation. Details TBD).
Location: The Birches in Salem, NH.
I understand and agree to the above mandatory trainings (should I be hired)

Yes
CORE PROGRAM WORK HOURS (REQUIREMENT for all paid staff)
Monday (7:30AM-3:15PM)
Tuesday-Friday (8:30AM-3:15PM)

EXTENDED DAY WORK HOURS (shared hours between paid staff. Staff must be available for at least two AM & two PM Extended Day times. Extended Day schedule will be decided on by the Program Director, the week before)
Monday (3-4PM)
Tuesday-Thursday (8AM-9AM/3-4PM)
Friday (8AM-9AM)

SCHEDULE OF AVAILABILITY
For ALL paid staff, a 4-week minimum is required.
CIT's are volunteers and do not have minimum work requirements.
I understand and agree to the above work hours (should I be hired)

Yes
Which weeks can you work? [check all that apply]*

June 19-23June 26-30July 5-7July 10-14July 17-21July 24-28July 31-August 4August 7-11August 14-18
I understand there will be a background check completed.*

Yes, I understand.
I understand I must have a license or reliable transportation.*

Yes, I understand.
GENERAL SHORT PRE-SCREENING QUESTIONS

All applicants must complete this section.
Why do you want to work with LGYM? How does it fit into your personal goals now, and your future career goals?*
It is extremely important that we maintain a high level of professionalism when it comes to staff work ethics, attention to detail, safety and responsibility to the children in our program. What characteristics do you possess that make you qualified to be in our program and trusted with the well-being of our children and overall STEM program?*
You may be leading large groups of children ages 4-13. What qualities do you possess that will allow you to excel as a leader?*
Is there any other additional information that you would like to share with us? Are there any qualities that you possess that were not addressed in this application that you feel are important to share?*
How did you find out about our program?*
BY TYPING YOUR NAME IN THE BOX BELOW, YOU CERTIFY THAT ALL OF THE INFORMATION THAT YOU HAVE PROVIDED ON THIS APPLICATION IS TRUE AND CORRECT.*
Thank you for taking the time to complete our Pre-Screen Interview Application!

We will be in touch shortly. Please email us your resume

(kindly include BOTH the owner and Director of Operations):

Jim Harvey, Owner Jim@letgoyourmind.com

Krystn Cinelli, Director of Operations

Krystn@letgoyourmind.com

THANK YOU!
www.LetGoYourMind.com
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