Young Rembrandts / Brilliant Werks, Inc.

APPLICATION FOR EMPLOYMENT

(EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER)

Print or type all information. Email your application to:
Incomplete applications will not be accepted. Completing this application does not automatically guarantee you a position. If you have not yet participated in a phone or face-to-face interview, you will be contacted within 5 days of receipt of your application.

NAME

First Middle Last

ADDRESS

Street Address City/State Zip Code

CELL PHONE (______)______Alternate PHONE (______)

EMAIL:

Birthday (mm/dd/yy) ______If married, provide maiden name:
By providing your birthday (and maiden name) you are giving us your permission to run a preliminary background check.

Which afternoons (after 2:30pm) are you available to teach (check all that apply):

___ Monday ___ Tuesday ____ Wednesday ____ Thursday ____ Friday

EDUCATION: A Degree in Art or Teaching is not mandated. We just want to know how much education you have had.

NAME & LOCATION OF SCHOOL(S) / GRADUATED
YES / NO / MAJOR / DIPLOMA/
DEGREE
High School / N/A
College/Univ.
College/Univ.
Technical/Trade

1.  Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? (Yes or No)

2.  Have you ever been convicted of a felony? (Yes or No) ______ (Please note that a “yes” answer will not automatically disqualify you from consideration for employment. If you did answer yes, please explain your conviction on a separate piece of paper.)

3.  Do you speak fluent Spanish? (Yes or No) (Speaking Spanish is not a requirement to be hired. A few of our schools do speak Spanish as a second language. We would consider you to teach at these schools, if hired.

SPECIAL SKILLS, QUALIFICATION AND CONSIDERATIONS:

Below, summarize any special skills and qualifications, volunteer activities, military experience, employment or other activities
you have participated in related to working with groups of children.

Describe below, in your own opinion, why you think you would make a good teaching candidate for Young Rembrandts.

REFERENCES: List 3 non-relatives who are familiar with your qualifications and/or actual work history and/or abilities:

Name / Relationship / Years Known / Telephone #
1. / ( )
2. / ( )
3. / ( )

EMPLOYMENT EXPERIENCE

We would like to contact your current (or most recent past) employer as a fourth reference. If you are currently employed by this person and do NOT want us to contact him/or her because you are planning to keep your current daytime job, please check the approximate answer under telephone #.

Most Recent Employer / City/State / Date Started
Position (what was/is your current job title)
Describe the responsibilities you had/have at this company.

Name Title of Supervisor: Supervisor’s Telephone #: ( )

[ ] YES, you may call. [ ] NO, don’t call.
DATE you left this company & Reason for Leaving (if still employed, write or type STILL EMPLOYED):

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SIGNING THIS APPLICATION. ONLY THOSE APPLICATIONS THAT ARE SIGNED AND DATED ARE CONSIDERED VALID. IF YOU HAVE ANY QUESTIONS REGARDING THIS STATEMENT, PLEASE ASK BEFORE SIGNING. Initial on the lines indicated below.

___ I understand that employment by Brilliant Werks, Inc., DBA Young Rembrandts, is limited part-time employment based upon enrollment of children in the program and that most of my hours will take place during after school hours. No benefits provided.

___ I understand that I must participate in and pass a background check prior to being hired and/or teaching my first class.

___ I understand that my references (and previous/current job supervisor) may be contacted.

___ If hired, I understand that I must complete a minimum of four hours of training and attend up to 5 staff meetings annually.

___ I certify that all answers and statements I have made on this application are true and complete without omissions and understand that any false information will be grounds for refusal to hire or for immediate discharge if I am employed. I authorize the company to verify any of this information including, but not limited to: criminal history, educational records, and motor vehicle driving records. I authorize all persons, schools, companies or organizations and law enforcement agencies to give you complete information and records regarding my employment, education, character and qualifications and hereby release any said persons, schools, companies or organizations and law enforcement agencies from any liability for any damage whatsoever for providing this information. I understand that the use of illegal drugs and alcohol is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment. I understand that I will be responsible for familiarizing myself with all rules and regulations of Brilliant Werks/Young Rembrandts as they presently exist or are later modified. I understand that employment at Brilliant Werks/Young Rembrandts is “at-will”, which means that either party can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by law. All employment is contingent on that basis. I also understand that no representative of either company has any authority to enter into any employment agreement for any specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment, except as specifically stated in a current written agreement signed by the owner of Briliant Werks DBA Young Rembrandts. I understand that Brilliant Werks/Young Rembrandts is an equal employment opportunity employer.

My initials above and signature below (written or typed) signifies that I have read, understand and agree with the above statements.

______

Signature (written or electronic) of Applicant Date This application will be valid for ninety (90) days from the date signed.