BGCMC After School Program – Employment Interest Form

Welcome!

Thank you for your interest in joining the Boys & Girls Clubs of Mercer County! We are seeking energetic, dependable, and engaging individuals who are passionate about working with youth in grades K-8.

Please complete this interest form. Selected candidates will be contacted to discuss next steps and potential interview opportunities.

Section 1: About You

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1. Full Name

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2. Email Address

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3. Phone Number

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4. Are you at least 18 years old?

Yes

Section 2: Position(s) of Interest

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5. Which position(s) are you interested in?

Youth Development Professional – Teaching/Program Facilitation $18-$20

Program Support Aide ($16-$18)

Bus Aide ($16-$17)

Section 3: Experience

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6. Which age group(s) do you feel most comfortable working with? (Check all that apply)

5-7

8-10

11-13

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7. Briefly tell us about your experience working with youth.

Section 4: Availability

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8. Are you available to work Monday–Friday between 2:00 PM–6:00 PM?

Yes

Other (please specify):

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9. Are you available to work early dismissal/half days? (12:45pm)

Yes

Occasionally

Section 5: Skills & Qualifications

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10. Do you speak any language(s) other than English?

Yes

If yes, please list the language(s):

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11. Do you have any of the following certifications? (Select all that apply.)

CPR/First Aid

NJ Teaching Certificate

Child Development Associate (CDA)

Substitute Teacher Certification

Other

None

Section 6: Interview Availability

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12. If selected for an interview, what days are you generally available?

Monday

Tuesday

Wednesday

Thursday

Friday

BGCMC After School Program – Employment Interest Form

Question Title

* 1. Full Name

Question Title

* 2. Email Address

Question Title

* 3. Phone Number

Question Title

* 4. Are you at least 18 years old?

Question Title

* 5. Which position(s) are you interested in?

Question Title

* 6. Which age group(s) do you feel most comfortable working with? (Check all that apply)

Question Title

* 7. Briefly tell us about your experience working with youth.

Question Title

* 8. Are you available to work Monday–Friday between 2:00 PM–6:00 PM?

Question Title

* 9. Are you available to work early dismissal/half days? (12:45pm)

Question Title

* 10. Do you speak any language(s) other than English?

Question Title

* 11. Do you have any of the following certifications? (Select all that apply.)

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* 12. If selected for an interview, what days are you generally available?

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* 13. Please list any dates or times that you are NOT available for an interview.

1. Full Name

2. Email Address

3. Phone Number

4. Are you at least 18 years old?

5. Which position(s) are you interested in?

6. Which age group(s) do you feel most comfortable working with? (Check all that apply)

7. Briefly tell us about your experience working with youth.

8. Are you available to work Monday–Friday between 2:00 PM–6:00 PM?

9. Are you available to work early dismissal/half days? (12:45pm)

10. Do you speak any language(s) other than English?

11. Do you have any of the following certifications? (Select all that apply.)

12. If selected for an interview, what days are you generally available?

13. Please list any dates or times that you are NOT available for an interview.