KidzArt Instructor Application
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Name *
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Prefix
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First *
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Last *
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Suffix
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Email *
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Cell Phone Number *
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Alternate Phone Number
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What city do you live in? *
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Desired Pay Rate *
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When are you available to start? *
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DD
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YYYY
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Transportation: If hired, would you have a reliable means of transportation to and from work? (Explain) *
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Check the following boxes if you have regular access to: *
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Internet
Computer
Printer
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Can you lift 35lbs? *
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Yes
No
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Availability
Please write out the specific hours you would be available for each day:
(example: 1:30-5:00pm)
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Monday *
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Tuesday *
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Wednesday *
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Thursday *
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Friday *
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Our instructors typically work very part-time (5-9 hours per week)
Ideally, how many hours a week would you like to work?
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Which of the following areas is your first choice and main area you are applying for? *
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El Dorado Hills
Folsom
Gold River
Natomas
Fair Oaks
Davis
Vacaville
Fairfield
Orangevale
Citrus Heights
Greater
Sacramento
Roseville
Rocklin
Napa
Other
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Which of the following areas would you also be available to teach? (Check all that apply) *
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El Dorado
Hills
Folsom
Gold River
Natomas
Fair Oaks
Davis
Vacaville
Fairfield
Orangevale
Citrus
Heights
Greater
Sacramento
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Tell us about yourself: *
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Please summarize your prior experience with children: *
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Please summarize your experience with art: *
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What do you see yourself doing 2 years from now: *
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Tell us why you think you would make a great instructor: *
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Current Employment, Position & No. of Years: *
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Highest level of education completed: *
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College Information (if applicable): *
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Indicate school, major & current students indicate
expected graduation date:
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Are you at least 18 years old?
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US Citizenship:
If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in this country?
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Have you ever been convicted of a criminal offense (felony or misdemeanor)?
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DO NOT answer YES if your conviction (felony or misdemeanor) involved marijuana and is more than 2 years old. DO NOT answer YES or provide any information
regarding referral to and/or participation in any pre-trial or post-trial diversion program.
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References
Please list a reference. A professional reference is appreciated.
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Reference #1 *
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Include name, phone number, and relationship
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Employee's Agreement: I am aware that a consumer report and/or an Investigative consumer report may be requested in connection with my
application for employment. If such a report is requested, and in response to a written request from me, you will inform *
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Accept
Do Not Accept
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Image Verification
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