After School Zone Academy: Employment Application Form

After School Zone Academy: Employment Application Form
Name:

First NameMiddle InitialLast Name
Application Status:
If returning, what was your last month and year of employment with us?
We need as many staff members with open availability as possible?
What are you applying for? Please select multiple categories.
Working availability beginning on:

MonthDayYear
Date
If you are only applying for Summer Camp, what is your available end date?:

MonthDayYear
Date
What is your best e-mail address?
example@example.com
Where did you hear of us? Please list referral name, search engine, website etc.
How often do you check your email, apps, or login's for work communication?
What is your permanent phone number?
Format: (000) 000-0000.
What is your permanent address?

Street Address

Street Address Line 2

CityState / Province / Region

Postal / Zip CodeCountry
What is your current address if you are only home during the summer? If your permanent and current address is the same, you may skip this section.

Street Address

Street Address Line 2

CityState / Province / Region

Postal / Zip CodeCountry
Present Occupation or Year in School:

Education & Background Information
What is your date of birth?

MonthDayYear
Date
Highest Grade Completed:
Major / Area of Study / Degree
Please list any community college, university, or tech school you have attended:
Name
Do you have the legal right to work in the United States of America?
Do you hold a current US Driver’s License? (Required)
Do you know of any reason why you would not be able to perform the essential functions of the job position’s for which you are applying with or without reasonable accommodation?
Have you ever been convicted of a crime (other than a traffic violation)?
If yes, please state offense, date, and location.

Areas of Interest & Personal Statement:
Briefly describe why you think you are qualified for the position(s) you are applying and why you are interested in working with us?.
OTHER RELATED TRAINING OR SKILLS. DO YOU HAVE A VALID CPR/1st Aid CERTIFICATION (If so, please indicate expiration date mm/dd/yyyy. If not, please enter N/A)
Working at a summer camp and aftercare program is difficult at times. Your duties will include working standing for long periods of time, putting student needs first, and classroom cleaning responsibilities. How do feel about these things? Do you consider yourself a team player?
Upload your Resume if you have one for review.

Cancelof

Employment History:

If you did not submit a Resume, please complete your employment history.
Most recent Employer's Name:
Address:
Phone Number:
Format: (000) 000-0000.
Position/Title:
Dates Employed:
Major Responsibilities:
Reason for Leaving:
Supervisor's Name:
2nd Employer's Name:
Address:
Phone Number:
Format: (000) 000-0000.
Position/Title:
Dates Employed:
Major Responsibilities:
Reason for Leaving:
Supervisor's Name:
3rd Employer's Name:
Address:
Phone Number:
Format: (000) 000-0000.
Position/Title:
Dates Employed:
Major Responsibilities:
Reason for Leaving:
Supervisor's Name:

Submission:
I understand that employment is contingent upon passing a criminal background conducted by IdentoGO and a central registry check to ensure I am safe to work with children.
I understand that a tuberculosis test at a doctors office of my choice or company choice is required for employment.
I certify that all information provided is true and complete. I understand that falsification or significant omission of any information may be considered justifications for dismissal from employment if discovered at a later date.
Signature

Use the mouse to draw your signature.
Date

MonthDayYear
Date
The After School Zone Academy is an Equal Opportunity Employer and does not discriminate on the basis of race, color, sex, age, disability, or national origin.
Should be Empty:

Education & Background Information