Part-Time Staff Application - North Dakota's Gateway to Science

Application for Employment

Name*
First Last
Address*
Street Address City State ZIP Code
Email*
Phone*
Position Applying For*
Education
High School, City/State, Dates Attended
Have you graduated?
- Yes
- No
College, City/State, Dates Attended
Coursework/Degree Obtained
Work Experience
Dates & Company Name
Job Title & Description
Dates & Company Name
Job Title & Description
Dates & Company Name
Job Title & Description
Why would you like to work at Gateway to Science? Also, what particular skills, characteristics, or interests can you bring to Gateway to Science?*
References
(Please list people who are not related to you, dating you, or already working at Gateway to Science.)
References*
Name How do you know this person? For how long? Phone

3 references are required.
Is there anything that you feel we should know or that you wish to clarify?
Signature*
First Last
By signing and dating you are acknowledging that all information provided is truthful.
Date*
Captcha

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Help us transform lives through the power of science and science education—inside the Gateway to Science, in our schools and beyond—with your support of NDGTS.

Name	How do you know this person?	For how long?	Phone

Application for Employment

Education

Work Experience

References

Support North Dakota's Gateway to Science