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Contact Information

Name *
City
Daytime Phone
Evening Phone
Best Time to Contact You *	Day Evening Doesn’t Matter
Email Address *

Availability

How many hours of work are you seeking per week?
Please select your general availability	Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Do you have your own transportation?	Yes No

Education & Experience

Highest Level of education achieved	Some High School High School or Equivalent Some college College degree Some graduate Graduate degree Other
Current Occupation
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Tell us about yourelf
Tell us about any special experience you have with science, programming, or robotics
Please summarize your past work experience
Please summarize your prior experience with children

Please list 3 references

Reference #1
Phone
Relationship (eg: former employer)
Reference #2
Phone
Relationship (eg: former employer)
Reference #3
Phone
Relationship (eg: former employer)