Candidate Name *

Are you 21 years or older? *

YesNo

E-MailID *

Phone Number *

What is your level of Education ?(example: high school, bachelors etc.) *

What is your Major? (eg: engineering, physics, math, teaching etc.) *

Have you worked with children in the capacity of teacher, day care aide, coach etc? If so explain: *

Do you live within 20 mile radius of Rocklin, CA? *

YesNo

Do you have Automobile Insurance? *

YesNo

Do you have drivers license? *

YesNo

Do you have reliable transportation? (As an instructor you will be picking up materials from IntelliBricks office and carrying them to different schools to teach. You should own a car.) *

YesNo

Are you willing to undergo background check and drug test? (Candidates selected after final interview should undergo background tests. Final offer is contingent upon the background check and drug tests. IntelliBricks pays for the background check and drug tests.) *

YesNo

Live scan for school districts (Once hired, all candidates should get live scanned for school districts where they teach. IntelliBricks will reimburse the cost after 6 months of employment. The live scan will cost between $50 to $75. Will you be willing to do it?) *

YesNo

How many hours do you expect from this job? (This is a part time position. The maximum hours provided will be 12 to 15 hours per week, if you work all five days of the week.) *

Can you lift up to 60 lbs? (To load and unload material from the car. You will be provided with a cart to move the materials.) *

YesNo

Why did you apply for this position? State briefly. *

Submit your Resume *

What days and times are you available?

Monday *

Tuesday *

Wednesday *

Thursday *

Friday *

Saturday *

Sunday *