To apply for a position with us please fill out the form below.

Your contact information:

Your Name:
Your Email Address:
Your Phone Number:
Address Line 1:
Address Line 2:
City:
State:
Zip:


Basic information:

How did you hear about this position?

Briefly tell us your educational background:


Briefly tell us about your hobbies and what you like to do for
fun:
There are lots of different things to do at eXperience, Inc.
Do you have any talents and skills that might be useful outside of
working with children?

Is there anything else about you that you think we should know?


Previous Employment
Please enter information on your last three employers as completely as possible. If you have had less than three employers just leave fields blank.

Employer 1:
Employer Name:
Employer Email:
Employer Phone Number:
Employer Address Line 1:
Employer Address Line 2:
Employer City:
State:
Zip:
Dates employed:
Job description:
May we contact this employer? Yes No
If not, why not?


Employer 2:
Employer Name:
Employer Email:
Employer Phone Number:
Employer Address Line 1:
Employer Address Line 2:
Employer City:
State:
Zip:
Dates employed:
Job description:
May we contact this employer? Yes No
If not, why not?


Employer 3
Employer Name:
Employer Email:
Employer Phone Number:
Employer Address Line 1:
Employer Address Line 2:
Employer City:
State:
Zip:
Dates employed:
Job description:
May we contact this employer? Yes No
If not, why not?

Please provide two professional references who can vouch for you as an employee.
Name:
Phone:
Relationship:
Name:
Phone:
Relationship:

Please provide two personal references who can vouch for your integrity and character.
Name:
Phone:
Relationship:
Name:
Phone:
Relationship:


Miscellaneous Information:

Have you ever been employed by (check all that apply):
eXperience, Inc
Renaissance Adventures
A Hard Days Knight
The Adventure Education Company

If previously employed by any of the above, please provide details.

Do you have any friends, relatives or associates who have worked for
any of the above?
 Yes No

If you answered yes, please provide details.

If you answered yes, may we contact these people.

 Yes No

Are you currently employed?

 Yes No

If so, may we contact your current employer?

 Yes No

Are you 18 years of age or older?

 Yes No

If not, can you provide proof of your eligibility for employment?

 Yes No

If hired can you provide proof of US. Citizenship or other proof of
authorization to work in the United States?
 Yes No

Are you able to perform the essential functions of the job for which
you are being considered with or without resonable accommodation? Bear in
mind that the job requires hiking, carrying up to 60 pounds, running,
speaking loudly and acting before an audiance.		 Yes No

Do you have reliable transportation?

 Yes No

Are you willing to travel and work overtime?

 Yes No

Any notes about any of the above:


Background Information

Please note that a criminal record does not automatically disqualify you for employment. It will be considered
only as it relates to the job in question.

Have you been convicted of a felony?

 Yes No

If yes, when and where?

Has your conduct with children ever been called into question?

 Yes No

If yes please explain:

By checking this box, you understand and agree that the
nature of the job for which you are applying WILL require that you
submit to a criminal background check as part of the application
process!		 I understand and consent

Your birth date:



The fun stuff:
A role playing game is:
My experience with such games is:
Kids are:
Working with kids is easy because:
Working with kids is hard because:
This picture looks:


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