Application for employment with QCEP! Select * Please select the job for which you are applying. Lead Staff Group Leader Please select the site location that you are applying for Durham, NC Raleigh, NC Greensboro, NC Name * First Name Last Name SS# Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Email Address * Highest Level of Education * Please select your highest level of education. High School/ Diploma Associate Bachelor Masters Doctorate What school(s) did you attend? What dates? * (ex. Duke University, 2004-2008) Did you graduate? * Yes No If no, please explain why. * Please indicate the shifts that you are able to work. * Summer Camp: 7:30am-4:30pm, Mon-Fri Morning: 6:30am-8am Monday-Friday Afternoon: Monday-Thursday 4pm-6pm, Fridays 3:15pm-6pm Summer Camp-All Day (M-F) Mornings only (M-F) Afternoon (M-F) only Pay for this Summer position is $12/hour. Do you agree to that salary? * When are you available to start? * Summer session starts June 20 and ends August 12. Have you ever been convicted of crime, other than a minor traffic violation? Yes No If yes, please explain. Are you legally eligible to work in the U.S.? * If yes, verification will be required. Yes No Military Service? Yes No If yes, please list your duty/specialized training * Tell us about any professional experience you have working with school-aged children. If none, write n/a. * Tell us about any experience that you have working with special needs children. If none, write n/a. * Tell us about any experience you have with planning and implementing enrichment activities for students. What resources did you use? If none, write n/a. * Do you have experience with supervising staff and students? What is the highest number of staff members and/or students that you have supervised? If none, write n/a * Have you ever been involuntarily dismissed from a job? * Yes No If yes, please explain. * If no, write n/a Describe your leadership style. Please tell us why you should be considered for the position for which you are applying. Please share with us any special skills or talents that you have that you would draw upon in this position. * Example: I'm athletic so I am willing to participate with the students by playing sports. List the name, title, company, and phone number for your previous supervisors. List as many as possible. * (ex. John Doe, Manager, Company, 555-555-5555) How would your former supervisor describe you? How would your friends describe you? * Please share any additional information with us about yourself that would encourage us to offer you the position. Thank you for applying for the position! Please email your resume to qualitycep.nc@gmail.com. We will contact you soon!
