KIDS On The Moon : Wk.1: Survey

Howdy, and Welcome to the Moon Kids Employment Agency!

Please fill out the Survey below so you can be hired as a Specialist on our Moon colony! (You'll need to pretend we are living in the year 2010, and answer according to what you would like to become by the time you're 25-28 years old.) Good Luck, and may the Force of God be with you!

**Important information for Teachers**

Please compile your results and send a compiled list of #amounts for each category, according to the question numbers. It might be easier to print out a copy of the survey, copy and distribute it to your students, and mail the compiled results to us using the form below. If you need help, please write to us!

Jobs Are Still Available !! (Results will be posted soon!)

Please see our Sample below. Your survey should look something like this:

#1.Immaculate Conception School
#2.Somerville, NJ,USA
#4. a=10 b=11 c=13 d=0 e=0 f=3
#5. a=3 b=4 c=2 d=4...etc.


Now it's YOUR turn.... Just fill out the form below, and press "Submit" when finished. 2010 Lunar Job Resime Form


1a.What's the name of your school?

1b. Your School's Street Address:

2.In what city, state, country are you located? City: State: Zip Code:

3. What's your Full E-Mail Address:


4.What latitude and longitude is your school?

Latitude: Longitude:

5.How old will you be in the year 2010? Age:


6.Which career job do you wish to qualify for? Please click on the boxes for the jobs you wish to apply for :

a) Oxygen Mining Plant & Mineral Resource Gatherer

b)Oxygen system &Thermal Air Conditioning & Heating

c)Work/Home Quarters Maintenance & Temperature & Humidity Control

d) Greenhouse Operator & Botanist & Zoologist (R&D plus Maintenance)

e) Microbiologist & Research Scientist & Chemist

f) Indoor Fishery & Environmentalist

g) Medical Doctor & Psychologist & Chaplain

h) Nurse & Space Suit Designer(protective shoes,etc.)

i) Supply, Delivery, and Recycling

j) Robot Manufacturer & Mechanical Engineer

k) Electrical Engineer & Solar Power & Energy Storage

l) Construction Engineers & Architect & Building Foreman

m)Shuttle pilot & Transportation engineer

o) Geologists for Oxides,hydrides, and other mineral resources

p) Telecommunications & Computer Systems

r) * On-Earth-Support-Team

s) Anything else you think is essential for a successful Lunar Colony


6. How many years of college will you have
completed by 2010?: 7. What field of expertise will you major/ graduate in?:

8. Will you have a valid pilot's & vehicle licence? : 9. Will you have 20/20 vision without glasses?: 10. Do you have any handicaps/ special needs?:

a)Claustraphobia b) fear of heights c) other 11. How did you rate in the International physical fitness exam? :

a)Excellentb)Very goodc)Goodd)Fair 12.Can you get along with everyone at work?:

13. Are you lungs and heart and bones in excellent shape?

a)All 3 greatb)Lungs fair c)Heart fair d)Bones fair

14. Do you excell in quick-thinking, alertness responses, etc.?

a)Yes No

15. * In 25 words or less, please state Your class's
collaborated vision of how the living & working modules
will be set up on our Lunar Colony.







Well, that's the end of the survey!
We hope you enjoy envisioning your
future role on our
Kids On the Moon adventure!

Goodbye, and send us your results soon please!

at Immaculate Conception School, Somerville, New Jersey, USA.