Employment Application Form

Telluride Academy Employment Application

Fill the form below accurately indicating your potentials and suitability to job applying for. Please note that this is a secure form and all information will remain confidential.
Name: *

First Name Middle Name Last Name
Position Applying For: *
*

Male Female
Are you 21 years or older? *
Birth Date (Must be over 21 to be consider for the Field Instructor and Early Childhood position): *

Month Day Year
Primary Phone Number: *

Area Code Phone Number
E-mail Address: *
Skype ID (optional):
Do you have a valid Driver's License? *

Yes No
Driver's License Number: *
Driver's License Issue State:
Driver's License Expiration Date:

Month Day Year

Mailing Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

How were you referred to us? *

Website Print Ad AEE.org Referral Word of Mouth Other Cool Works
Referral by who?
Have you ever been convicted of any crime including operating under the influence, sex related or child abuse offenses? *

Yes No
If you answered yes to the above, please explain:
Job Qualifications, Skills & Training
Upload Cover Letter: *
Upload Resume: *
Current Certifications: *

Certified Teacher CPR/AED Wilderness First Aid Wilderness First Responder Lifeguarding Swift Water EMT AMGA None
Will all of the above selected 'current certifications' be valid from June 2020- August 2020? *

Yes No
Other Training or Certifications (list expiration):
Previous Experience: List your past experiences working with youth in either a traditional and/or outdoor setting (Dates and Position Held). *
Telluride Academy is dedicated to providing meaningful experiences for all children, regardless of physical or mental disability. We offer "buddies," or one-on-one support in the field for children in need. Are you interested in learning more about this opportunity?

Yes No
Super Fun Applicant Questionnaire

In this section, you will respond to short answer questions that will let us know a little more about you...
Working with youth requires a unique blend and balanced recipe of personal characteristics, attributes and attitude in order to successfully produce the creative and impactful experiences that the Academy is known for. Please write out your "recipe" for constructing an ideal Academy instructor below:
Please describe to us in detail your personal relationship with your cell phone.
Scenario: IT'S GETTING CLOSE TO PICK-UP TIME AND YOU'VE RETURNED TO YOUR CLASSROOM WHERE THE KIDS ARE BOUNCING OFF THE WALLS AND GOING CRAZY FROM THE ICE CREAM SANDWICHES YOU JUST GAVE THEM!! PARENTS WILL SOON START TO ARRIVE AND YOUR CO-INSTRUCTOR IS HAVING A NERVOUS BREAKDOWN IN THE VAN! DOMINIC AND TREVOR ARE PLAYING "NINJA FIGHTER" AND TERRORIZING THE GIRLS, GABBY IS POURING PAINTS ONTO HER LATEST MASTERPIECE (her shoes), BROCK IS QUIETLY CRYING IN THE CORNER (again) AND JAMES AND FERN ARE HAVING A SCREAMING CONTEST!!!! Thoughts? Plan of Action?
Scenario: The Academy is deeply rooted in outdoor and adventure education. As a new instructor you are excited to share your extensive and impressive background in rock climbing, mountain biking, mountaineering and river running with your soon-to-be Academy students. It is Session One staffing time and you've just been assigned your new co-instructor and upcoming two week program of 'Fairies and Unicorns' for 6 and 7 year olds. Walk us through your preparation for this program as well as your perfect 'Fairies and Unicorns' day:
The Academy is ultimately about having fun, general brouhaha and professional hullabaloo. We promote impromptu adventures, getting dirty and discovering the unique places and people that come from doing so. We believe in the power of wild places, the rejuvenation of quiet moments spent in awe and the renewal found in rumpus and riotous dances around campfires. In the spirit of using words to describe why you are excited to possibly share who you are with the Academy, please create a Haiku to do so:
Describe your personal relationship with the outdoors. How much time do you spend outside? What are your favorite outdoor activities? What makes the outdoors special to you?
Please provide any other comments or information about yourself that you feel would be pertinent for this position.
Do you live in Telluride? And if so, for how long?
Are you familiar with the Telluride Region?
Do you have a place to live in Telluride for the summer?
Do you have any scheduling conflicts on weekdays from June 1, 2020 to August 14, 2020?
Are you available for staff training May 26-May 30?

Yes No
Professional References

Please list two (2) references that are familiar with your work life.
Reference 1
Name and Title of Reference: (First and Last / Position Held) *
Name of Organization *
Position YOU held at organization and for how long *
Phone Number *

Area Code Phone Number
E-mail *

Location of Organization/Business: (City and State) *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Reference 2
Name and Title of Reference: (First and Last / Position Held) *
Name of Organization *
Position YOU held at organization and for how long *
Phone Number *

Area Code Phone Number
E-mail *

Location of Organization/Business: (City and State) *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Please read carefully and sign that you understand and accept this information.

I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. INSTRUCTOR understands that if he or she knowingly or willfully made a false statement of any material fact or thing during the application process INSTRUCTOR is guilty of perjury in the second degree as defined in Section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly. I authorize Telluride Academy to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. I understand that this document is NOT an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. If employed, I will be required to furnish proof of eligibility to work in the United States and to comply with company and departmental regulations. By signing below, I give my permission for the administration of the Telluride Academy to conduct background checks if I am offered and accept a position of employment.
Signature and Date *
Should be Empty: