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Program Eligibility
Thank you for your interest in the Science Center's Building an Understanding of Lab Basics (BULB) workforce program built in partnership with eCLOSE Institute! This is a no-cost, adult training program that focuses on building Science, Technology, Engineering and Mathematics (STEM) industry skills and advancing at work. In partnership with eCLOSE Institute, participants will receive basic laboratory environment skills that can be applied to multiple roles in the STEM industry. Graduates of the program will earn:

- Stipend while in training
- A Laptop
- Provided lab materials and supplies
- STEM mentor
- Access to online learning modules beyond program completion

Because this application can take 45-minutes or more to complete well, first answer the questions below to determine if you are eligible to fill out the application.



Statement of Intent



APPLICANT INFORMATION
Next, we're going to ask you to share some basic contact information so that we can keep in touch. Please use an email address and phone number that you access regularly.









Referral Source
We're very interested in how you heard about us so that we can be sure to thank the right people for sending you our way!

DEMOGRAPHICS

Select all that apply. Use CTRL for multiple choices








EDUCATION

Here we will ask you about your educational background. Be sure to share information about a school or program, even if you haven't earned a degree or certification. We are interested in all of your educational experience!

HIGH SCHOOL or HIGH SCHOOL EQUIVALENCY



You must have a high school diploma or GED to participate in this program.
COLLEGE/UNIVERSITY





VOCATIONAL/TRADE SCHOOL





PROFESSIONAL CERTIFICATION
CERTIFICATION #1






CERTIFICATION #2






SCIENCE EXPERIENCE AND BASIC EQUIPMENT FOR WORK FROM HOME

In this section, we will ask you about your overall science experience. Information provided will not diminish your chances of being selected. Even if you are not a "science person," our training is designed for all experience levels. Additionally, training will include a full testing science kit that requires specific devices and appliances for the most ideal outcomes. We'd like to set all applicants up for success during the entire program.

EXPERIENCE / EQUIPMENT

CTRL+Click to select more than one







EMPLOYMENT HISTORY
For your application to be reviewed for the Science Center's BULB program. You will NOT be able to submit a resume, so fill in this section as completely as you can. Start with your most recent position (you may add up to three).
Employer 1







If hours vary, indicate the average number of hours each week. 


MM/DD/YYYY Format. For example, 10/14/2019

MM/DD/YYYY Format. For example, 10/14/2019


Would you like to add another job? If you have more than one previous employer, it is highly recommended you include that experience.
Employer 2







If hours vary, indicate the average number of hours each week.


MM/DD/YYYY Format. For example, 10/14/2019

MM/DD/YYYY Format. For example, 10/14/2019


Employer 3







If hours vary, indicate the average number of hours each week.


MM/DD/YYYY Format. For example, 10/14/2019

MM/DD/YYYY Format. For example, 10/14/2019


You are almost there! This is the last question on this application. We want to make sure we have a full understanding of what makes you a great candidate for the BULB workforce program.

DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge. If this application leads to entry into the program, I understand that false or misleading information in my application or interview may result in my release from the program.

Please enter your full name
Thank you for applying to the Science Center's BULB workforce program.
The application deadline is  Friday, October 30th 2020 at 5:00pm. 

Incomplete applications will not be accepted.  Applications submitted after this date will be not accepted. Consideration for entry into subsequent programs requires that a new application be submitted. Applicants will be notified via email no later than July 2nd.