Step 1 of 2 50% Employee InformationCurrently hiring for Assistant Teachers! Click here for the job description. Full Legal Name* First Middle Last Any Former AlliasesBirthdate*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Contact Phone Number*Hours Available at this NumberEmail* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Do you have any previous criminal convictions of any kind? If so, list them and their dates.*Recent Work HistoryList work history dating back 5 years. Please give detailed descriptions about work relating to children, education, or outdoor activities.May we contact these employers?*YesNoName of Company*Contact Name* First Last Contact Phone Number*Position*Duties and Length of Employment*Add a second position? Add more work history? Name of CompanyContact Name First Last Contact Phone NumberPositionDuties and Length of EmploymentAdd a third position? Add more work history? Name of CompanyContact Name First Last Contact Phone NumberPositionDuties and Length of EmploymentAdd a fourth position? Add more work history? Name of CompanyContact Name First Last Contact Phone NumberPositionDuties and Length of EmploymentPersonal ReferencesList three personal references who are not family members. 1. Reference Name* First Last Reference Phone Number*Reference Relationship*2. Reference Name First Last Reference Phone NumberReference Relationship3. Reference Name First Last Reference Phone NumberReference Relationship Job QualificationsPlease check that you are able to do the following. Repeatedly lift 50lbs without injury? Carry a backpack that weighs up to 30lbs for extended periods of time? Run/jog while carrying a backpack? Work in extreme weather (snow, high winds, rain and cold?) Stand up and bend down repeatedly without getting dizzy? How knowledgable are you regarding Pacific Northwest edible/medicinal/dangerous plants?Please choose oneDon't KnowNot Very KnowledgableSomewhat KnowledgeableKnowledgableVery KnowledgableHow knowledgable are you regarding Pacific Northwest animals and insects?Please choose oneDon't KnowNot Very KnowledgableSomewhat KnowledgeableKnowledgableVery KnowledgableHow knowledgable are you regarding fire building and fire tending?Please choose oneDon't KnowNot Very KnowledgableSomewhat KnowledgeableKnowledgableVery KnowledgableHow knowledgable are you regarding first aid?Please choose oneDon't KnowNot Very KnowledgableSomewhat KnowledgeableKnowledgableVery KnowledgableHow knowledgable are you regarding plant and animal life cycles?Please choose oneDon't KnowNot Very KnowledgableSomewhat KnowledgeableKnowledgableVery KnowledgableHow comfortable are you working with young children?Please choose oneDon't KnowNot Very ComfortableSomewhat ComfortableComfortableVery ComfortableHow comfortable are you with peaceful conflict resolution?Please choose oneDon't KnowNot Very ComfortableSomewhat ComfortableComfortableVery ComfortableHow comfortable are you with children participating in moderate risk activities?Please choose oneDon't KnowNot Very ComfortableSomewhat ComfortableComfortableVery ComfortableHow comfortable are you with singing and acting silly?Please choose oneDon't KnowNot Very ComfortableSomewhat ComfortableComfortableVery ComfortableHow comfortable are you with question based learning?Please choose oneDon't KnowNot Very ComfortableSomewhat ComfortableComfortableVery ComfortableHow comfortable are you with flow style teaching?Please choose oneDon't KnowNot Very ComfortableSomewhat ComfortableComfortableVery ComfortableHow comfortable are you with storytelling?Please choose oneDon't KnowNot Very ComfortableSomewhat ComfortableComfortableVery ComfortableWhat experiences and training do you have that relate to education, working with young children and/or nature?What are your strengths and weaknesses?Why do you want to work with Olympic Nature Experience?What skill sets or passions do you have that make you a strong candidate to work with Olympic Nature Experience?How well can you multi-task or monitor multiple situations at the same time? What is your reaction to overwhelm or stress?How well can you handle high sensory environments?Can you make up a story, game or activity on the spot?How do you feel talking to parents of students about uncomfortable topics such as inappropriate behavior their child is exhibiting, or a student on student interaction that was aggressive?Write a short to medium length paragraph about a recent nature experience.Attach any supporting documentation here. Drop files here or GDPR Consent I consent to the collection and secure storage of this data by Olympic Nature Experience as described in Olympic Nature Experience’s Privacy Policy. I understand that I may modify or delete my data at any time. This iframe contains the logic required to handle Ajax powered Gravity Forms.
