Summer Youth Programs at SPSU || STEMs Up!

Quick Links

SummerBlast!
Southern Polytechnic
State University
1100 South Marietta
Parkway
Marietta, GA
30060-2896
678.915.3163
678.915.7490 fax

Work With Us!

Apply in one of three ways:

Pick up application in person
Download application and fax or mail back
Online using the form below

The downloadable application is a typewriter-enabled PDF form which you can download to computer, fill out on your computer, save, and print to your printer.

The application deadline for SummerBlast is May 1, 2009.

Online Application
Please fill out completely. All fields are required.

Personal Data

I would like to work as a:	Teacher Counselor
First Name:
Middle Name:
Last Name:
Mailing Address:
City:
State:
Zip:
Daytime telephone:
Evening telephone:
E-mail:
Please state your availability: days of week, times of day.
Citizenship:

References

Most Recent Work Experience, or Reference 1:
Last Name or Company Name:
First Name or Supervisor's Name, if Company:
Job Function or Title:
Mailing Address:
City:
State:
Zip:
Telephone:
E-mail:

Next Most Recent Work Experience, or Reference 2:
Last Name or Company Name:
First Name or Supervisor's Name, if Company:
Job Function or Title:
Mailing Address:
City:
State:
Zip:
Telephone:
E-mail:

Why would you like to work with SPSU's SummerBlast program?

Please tell us how your participation in our SummerBlast program will benefit our participants, no more than 250 words.

Work With Us!

Online Application Please fill out completely. All fields are required.

Personal Data

References

Why would you like to work with SPSU's SummerBlast program?

Online Application
Please fill out completely. All fields are required.