STEM camp volunteer and Facilitator (teacher) Application form

STEM Camp Volunteer and Facilitator Application Form (Teacher)

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Advanced STEMS Camp Teacher Application 2013 (Science Technology Engineering and Math Summer Camp 2013, Lagos Nigeria
Name*
First Last
Email*
Date of Birth*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Tee Shirt Size*
Phone Number*
Alternate Phone Number
Emergency Contact Information (during camp)
Name*
First Last
Relation to you*
Daytime Phone*
Evening Phone*
Education
School Attended (High School/College) Area of study*
Highest Grade Completed*
Degree/Date of Graduation*
Do you have any additional education information to add?*
- yes
- no
School Attended (High School, College) Area of Study*
Highest Grade Completed*
Degree/Date of Graduation*
Do you have additional education information to add?*
- yes
- no
School Attended (High School, College) Area of Study*
Degree/Date of Graduation*
Degree/Date of Graduation*
Name of Current School where you are teaching*
Position*
Name of School Principal
Subjects you teach*
Dates of Employment*

When did you begin teaching at this institution?
Related Experience*

Work, school, and community experience that is relavent to this position.
What experience do you have working with children?*
Why are you interested in teaching at WAAW STEM Camp?*
How did you hear about this oppurtunity?*
References: Please list two persons not related to you who can judge your character and qualifications for this position.
Name, reference 1*
First Last
Position*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Relationship to you*
Name, reference 2*
First Last
Position*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Relationship to you*
I understand that the WAAW 2013 STEM is a residential camp. As a teacher, I will NOT be expected to stay on campus overnight. I will be expected to attend a one day teacher training. I certify that all information provided on this application is true and complete. I authorize WAAW Foundation and W.TEC to verify all information on this form. If any falsehood is found, my appointment will be terminated. The expiration of this authorization shall be for a period no longer than one year from the date of my signature.
Signature of Applicant*
Date*
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STEM camp volunteer and Facilitator (teacher) Application form

STEM Camp Volunteer and Facilitator Application Form (Teacher)

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