Cocoplum Nature School Staff Application
Thank you for your interest in sharing your talents with Cocoplum Nature School! Please complete this application to the best of your ability.
Sign in to Google to save your progress. Learn more
Name *
First and last name
Aliases or other names you have been known by *
Email *
Preferred Pronouns
Clear selection
Date of Birth *
MM
/
DD
/
YYYY
Phone number *
Home address *
Emergency Contact Full Name *
Emergency Contact Primary Phone Number *
Emergency Contact Secondary Phone Number
Which position(s) are you interested in? (Check as many as apply.) *
Required
What is the highest degree you have completed? *
If you are applying for an instructional position, how many years experience do you have working directly with children? *
If you are applying for an instructional position, what certifications, licenses, or endorsements do you possess? (Check all that apply.)
We take the safety of children very seriously. Have you ever been convicted of a crime involving a minor? *
Fingerprinting and criminal background checks are required for all Cocoplum Nature School staff and volunteers. The cost to applicants is $80. Are you willing to cooperate with a background check? *
Are you authorized to work in the United States? *
Are you either a U.S. veteran or active member of the U.S. armed forces?
Clear selection
Please list at least three references (phone number and email) who have knowledge of your experiences and skills. *
How did you hear about us? *
What about the Cocoplum Nature School approach appeals to you the most? *
If you are applying for an instructional position, are you able and willing to spend the majority of the school day outside? (There will be access to air conditioned classrooms, shade, and ice water.) *
Cocoplum Nature School is a non-profit. Are you willing to be involved in fundraising events, either online or in person? *
Cocoplum Nature School is an equal opportunity organization committed to providing equal opportunities to all and does not discriminate on the basis of race, color, national origin, ethnicity, primary language, age, religion, sex, gender, sexual orientation, gender identity, veteran status, disability, or any legally protected status. Are you committed to advancing equitable experiences and outcomes for children and embracing diversity in the workplace? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Cocoplum Nature School. Report Abuse