School Name *
Date *
5:Exceeded Expectation 4:Good 3:Met Expectation 2:Needs Improvement 1: Below Expectation
The instructor teaching this program was
Friendly and Responsive *
54321
Helpful and Knowledgeable *
Prepared and Effective *
The facility or room was
Clean and comfortable *
Convenient *
Safe *
How do you feel about the program overall? *
The fee for the program was (circle one) *
HighAdequateLow
The program content was
Technique and skills *
Your child’s understanding of the subject *
I decided to participate in the program based on(circle one) *
FlyerActivity GuideWebsiteRecommendationOther
How did you register? *
PhoneWebsite
Did the program help better develop
Technique and skills *54321
Your child’s understanding of the subject * 54321
Would you recommend this class to someone else? If no why not? *YesNo
Reason for not recommending
Additional comments or questions *
Thank you for taking the time to complete the evaluation. We greatly appreciate your input.
Name
Phone Number
Email
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What classes are you interested in?
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? *
Do you have Automobile Insurance? *
Do you have drivers license? *
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.) *
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.) *
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?) *
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.) *
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 *
