Children's Museum of Pittsburgh Application Form

Children's Museum of Pittsburgh Application for Employment

We consider applicants for all positions on the basis of qualifications and without discrimination to race, color, religion, sex, national origin, age, marital status, veteran status, disability, sexual orientation, gender identity and any other legally protected status. (Application must be completed in full even if attaching a resume)
To request an accommodation for the application or interview process, please email hr@pittsburghkids.org.
Full Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Phone Number*

Area CodePhone Number
Applying for Position:*

Full Time Position (specify below)Part-Time Visitor Services AssociatePart-Time Birthday Party HostPart-Time Cafe ServerPart-Time Prep CookPart-Time CleanerPart-Time Promotions and Festivals WorkerPart-Time Event Prep StaffOther Part-Time Position
If specific position is not listed above, please specify the full-time or part-time position for which you are applying

PART-TIME APPLICANTS ONLY: Please indicate all days and times in which you are AVAILABLE for work. NOTE: WORK SCHEDULES ARE BASED UPON THE NEEDS OF THE MUSEUM AND MAY BE SUBJECT TO CHANGE ON A WEEKLY BASIS.

	Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
Before 8 a.m.
8 a.m.-5 p.m.
After 5 p.m.

Have you ever worked for the museum before?*

YesNo
If yes, what position?
If yes, what dates?
How were you referred?*

NonprofitalentCraigslistCurrent employeeFriendWalk-inWebsiteOther
Who referred you? (if applicable)
Wage expected?*
Date available to begin working?*
Why are you interested in working for the museum?*
What Strengths would you bring to the Museum? *
Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment) *

YesNo
MOST POSITIONS REQUIRE YOU TO BE AT LEAST 18 YEARS OF AGE. ARE YOU AT LEAST AGE 18?*

YesNo
IF UNDER AGE 18, CAN YOU SUPPLY A WORK PERMIT?

YesNo
GENERAL INFORMATION
HAVE YOU EVER PLED GUILTY, NO CONTEST OR BEEN CONVICTED OF A CRIME? (A conviction record will not necessarily be a bar to employment. Factors such as job relations, age and time of the offense, seriousness and nature of violation and rehabilitation will be taken into account).

YesNo
If yes, please explain:
NOTE: As a condition of employment, you will be required to submit an FBI Clearance and Act 33/34 clearances. Will you have a problem with submitting for these clearances?*

YesNo
HAVE YOU EVER BEEN DISCHARGED FROM ANY EMPLOYMENT OR ASKED TO RESIGN? *

YesNo
IF YES, PLEASE EXPLAIN:
EMPLOYMENT HISTORY
Begin with your most recent employment and continue with all past employment. (Attach additional sheet if necessary). NOTE: You must complete fully even if you have submitted a resume.

	Name of Employer	Employer Phone Number	Full Address of Employer	Supervisor's Name and Title	Dates Employed (Start and End; use Month + Year)	Job Title(s)	Rate of Pay (beginning)	Rate of Pay (ending)	Describe work performed	Explain reason for leaving	If still employed, may we contact current employer
Most Recent or Current Employer
Employer 2
Employer 3

EDUCATION

	Name and Address of School	Major Subject	How many years attended?	Did you graduate (yes or no)	Name of degree received
High School Attended
College Attended
Graduate School Attended
Business or Trade School Attended

ADDITIONAL EXPERIENCE OR QUALIFICATIONS
List any other experience, skills or other qualifications including hobbies, which you believe, should be considered in evaluating your qualifications for employment. (Omit any organization that reflects your race, color, religion, age, sex, sexual orientation, marital status or disabilities.)
Please indicate any prior military service that you would like considered in connection with your application for employment.
Do you speak any foreign languages? If yes, please describe.
Have you completed any special courses, seminars, volunteer experience and/or training that would enable you to perform the position for which you are applying? If yes, please describe:
Please check off any additional skills:

ScienceTheatreVisual ArtsStorytellingDanceVocal MusicCarpentryInstrumental MusicC.P.R./First AidCraftsOther
PROFESSIONAL REFERENCES

List three individuals (not related to you or living in your household)*

	NAME	BUSINESS PHONE	OCCUPATION/EMPLOYER	ALTERNATE PHONE/EMAIL	TITLE/RELATIONSHIP	HOW LONG KNOWN
1
2
3

RESUME AND COVER LETTER: Required for Full-Time Applicants, Encouraged for Part-Time Applicants
Upload Resume

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Upload Cover Letter

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PLEASE READ CAREFULLY BEFORE SIGNING
I authorize the investigation of all statement and information contained in this application including communicating with persons listed as references, former employers, and any others with whom you desire to check. I agree to hold such persons harmless with respect to any information they may give about me.

If employed, I agree to engage in no outside activity which would involve a material conflict of interest with, or which could reflect adversely on the Museum. I understand this decision is to rest with the Museum.

In consideration of my employment, if I am employed, I agree to conform to the rules and regulations of the Museum, and I understand that my employment and compensation can be terminated, with or without notice, at any time, at the option of either the Museum or myself. I understand that no representative of the Museum, other than the Executive

Director, has the authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing.

I understand that completion of this Application For Employment does not guarantee that I have been employed by the Museum.

I hereby affirm that my answers to these statements and questions are true and correct to the best of my knowledge. I have not knowingly withheld any fact or circumstance that would, if disclosed, affect my application unfavorably.

I understand that any misrepresentation, deception, or false statement made in this Employment Application may result in my not being considered for employment, and if not discovered by the Museum until after my becoming employed, is grounds for, and may result in, my immediate termination.
SIGNATURE: Use your mouse, touch-pad, or touch-screen to sign

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NOTIFICATION AND AGREEMENT
REQUEST FOR TRANSCRIPT OF ACADEMIC RECORDS

I hereby authorize the educational institutions listed on the Employment Application to release a copy of my official transcript of my academic record.

CONSENT TO PROCUREMENT OF CONSUMER CREDIT REPORT

I understand that, as a condition of my consideration for employment with Museum, or as a condition of my continued employment with the Museum, the Museum may obtain a consumer report that includes, but is not limited to, my creditworthiness or similar characteristics, employment and education verifications, social security verification, criminal and civil history, personal interviews, DMV records, any other public records and any other information bearing on my credit standing, credit capacity, character, general reputation, personal characteristics and trustworthiness.

I hereby authorize and consent to the Children’s Museum procurement of such a report. I understand that, pursuant to the federal Fair Credit Reporting Act, the Museum will provide me with a copy of any such report if the information contained in such report is, in any way, to be used in making a decision regarding my fitness for employment with the Museum. I further understand that such report will be made available to me prior to any such decision being made, along with the name and address of the reporting agency that produced the report.
SIGNATURE: Use your mouse, touch-pad, or touch-screen to sign

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Enter the message as it's shown*
This application for employment is good for 60 days only.

Consideration for employment after 60 days requires a new application.
Should be Empty:

Children's Museum of Pittsburgh Application for Employment

GENERAL INFORMATION

EMPLOYMENT HISTORY

EDUCATION

ADDITIONAL EXPERIENCE OR QUALIFICATIONS

PROFESSIONAL REFERENCES

RESUME AND COVER LETTER: Required for Full-Time Applicants, Encouraged for Part-Time Applicants

PLEASE READ CAREFULLY BEFORE SIGNING

NOTIFICATION AND AGREEMENT