LI Explorium - Employment Application Form
Sign in to Google to save your progress. Learn more
Email *
CONTACT INFORMATION
Last Name
First Name
Email *
Phone number *
Address *
City *
State *
ZIP Code *
JOB APPLICATION
Highest level of education received / Academic status (degree or grade entering) *
Briefly state your reasons for applying *
What position are you applying for? *
Required
How many hours would you ideally be looking to work per month/week *
Required
Seasonal or year round availability *
Weekly availability *
Areas of interests/ skills ( select all that apply)
Your application is not complete until you have submitted your resume  and cover letter to jobs@longislandexplorium.org
Please acknowledge the following *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Long Island Explorium.

Does this form look suspicious? Report