Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone number*

Best time to contact you?

:

When are you available to start?*

If hired, would you have a reliable means of transportation to and from work? (Explain.)*

Do you have regular access to a computer, the Internet, and a printer?*

Yes
No

Can you lift 35 pounds?*

Yes
No

Please list the specific hours you would be available for each day:

Typically, our after school classes are held Mon-Fri during the time frame of 2:30-5:00. (The actual time depends on the specific school site. Each class is 1 hour long with 15 minutes of required setup.)

Monday

:

Monday*

Enter times as xx:xx.

Tuesday

:

Wednesday

:

Thursday

:

Friday

:

Ideally, how many days of the week would you like to work?*

Please enter a number from 0 to 5.

Please answer the following questions:

Tell us about yourself.

Please summarize your prior experience with children.

Please summarize your experience with art.

You will be teaching a pre-existing curriculum from a former teacher. How difficult is it for you to take directions from another adult?

How do you feel about working with handicapped/special needs children? Please tell us about any relevant experience that you have.

Kids say the darnedest things! Can you keep personal or embarrassing family information confidential?

However, instances of abuse or neglect MUST be reported to your supervisor immediately.

Tell us why you think you would make a great KidzArt instructor.*

Current Employment, Position, and Number of Years.

Highest level of education completed:

College Information (if applicable):

Are you at least 18 years old?*

Yes
No

If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in this country?*

Yes
No

Please list 2 references; include at least one professional reference. Include name, phone number, and relationship

Reference 1

Reference 2

Are you looking for full-time or part-time work?*

Full-Time
Part-Time
Either

Agreement for Application for Employment*

Accept

If I am interviewed and considered for a position, I am aware that KidzArt/Club Scientific policy requires a successful Background Check prior to any offer of employment. A successful background check must show no felonies, violence, or criminal misdemeanors. Furthermore, no incident(s) involving physical or sexual abuse of a child will be acceptable for employment consideration. Upon request, an applicant denied employment due to a failed background check may request the name of the agency that provided the report. I certify that the information provided in this application is true and that I have not knowingly withheld any fact that would affect my application. Any misrepresentation, falsification, or willful omission in any detail shall be sufficient reason for refusal of employment or dismissal after employment upon discovery, regardless of time. If employed by KidzArt, I agree to conform to the rules of KidzArt and I agree and understand that my employment can be terminated, with or without cause, and with or without notice, at any time, at the option of either KidzArt or myself. I understand that no executive other than the owner(s) of the KidzArt franchise area has any authority to enter into any employment agreement for any specified period of time.

Digital Signature*

Type your name here to confirm agreement.

Number

Instructor Application

Please list the specific hours you would be available for each day:

Please answer the following questions:

Please list 2 references; include at least one professional reference. Include name, phone number, and relationship

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