STP Online Staff Application

For any questions you may have, please contact the ADHD Summer Treatment Program Team at 216.444.0075.

*Indicates required information.

Today's date

First name

Last name

Street address

City

State

Zip code

Phone number

Date of birth

If you will be leaving your current address and living at a different address after June 6 please list that address and phone number below:

Street Address

City

State

Zip code

Phone number

Date of move

Educational Background Undergraduate

School/College/University

Dates: From/To

Degree

GPA

Major

Educational Background Graduate (if applicable)

School/College/University

Dates: From/To

Degree

GPA

Major

Job Experience With Children

Employer A

Dates: From/To

Street Address

City

State

Zip Code

Nature of job

Supervisor's name

Reason for leaving

Employer B

Dates: From/To

Street Address

City

State

Zip Code

Nature of job

Supervisor's name

Reason for leaving

Additional Information

List relevant undergraduate and graduate (if applicable) courses you feel qualify you for staff participation in the Summer Treatment Program (e.g., psychology, computer science, statistics, education, educational psychology, social work and related fields).

Briefly describe any additional work experience with children you have had other than that listed above.

Briefly describe any research experience you have had other than that listed above.

List any publications, reports, or special projects on which you have worked.

For what position are you applying for?

Choose all that apply

Research Interests

Graduate Lead Counselor

Undergraduate Counselor

Academic learning Center Teacher

Academic learning Center Aide

Check the box (es) that most thoroughly describes your experience with the following sports.

Choose all that apply

Basketball

Soccer

Softball

Swimming

Are you currently certified in First Aid, CPR, Lifeguarding, or Water Safety Instruction?

Choose all that apply

First Aid

CPR

Lifeguarding

Water Safety

What is the age of children with whom you are interested in working

Choose all that apply

6-7 years

8-9 years

10-11 years

12-14 years

References: Word and PDF only accepted formats. We require three written reference letters along with your application. If you cannot provide electronic documents send your letters of recommendation to Attn: STP 2801 Martin Luther King Jr. Dr. Cleveland, Ohio 44104

Reference 1

Choose File No file selected.

Reference 2

Choose File No file selected.

Reference 3

Choose File No file selected.

Please write the name, title, complete address , and phone number of the person who referred you to this program. If you learned about the Cleveland STP through another source (e.g., newsletter, Internet), please note the source.

Resume: Word and PDF only accepted formats

Upload Resume

Choose File No file selected.

CAPTCHA

Coming to a Cleveland Clinic location?

Apply Now