Employment Application
First Name
Last Name
Address
Email
Phone
Location
A to Z Building Blocks American Fork (195 North 100 East, American Fork, UT 84003, USA)
A to Z Building Blocks Orem (670 400 North, Orem, UT 84057, USA)
A to Z Building Blocks Eagle Mountain (3563 Ranches Parkway, Eagle Mountain, UT 84005, USA)
A to Z Building Blocks Draper (978 East Draper Parkway, Draper, UT 84020, USA)
A to Z Building Blocks Spanish Fork (519 North Main Street, Spanish Fork, UT 84660, USA)
Desired Start Date
Are you willing to pay for a background clearance in order to get the position? It costs $53.25
Yes
No
Do you look at your email frequently?
Yes
No
Are you eligible to work in the United States?
Yes
No
Are you over the age of 18?
Yes
No
Are you over the age of 21?
Yes
No
How did you learn about the employment Opportunity? Check all that apply
Indeed
Facebook
Dept. of Work Force Services
Referred by an Employee
Website
Other
Have you ever been convicted of a misdemeanor?
Yes
No
What position are you applying for?
What time of day works best to contact you for you an interview?
Job Type
Full-Time
Part-Time
Substitute
Desired Wage
Hours Available
Monday
Tuesday
Wednesday
Thursday
Friday
Can you Commit to one year?
Yes
No
If not, how long can you commit?
Education
Name of High School/ GED
City/State
Degree Received
Did you Graduate?
Yes
No
College
City/State
Degree Recieved
Did you Graduate?
Yes
No
Other Credentials (CDA, CPR, First Aid, Food Handlers Permit, Etc)
Skills and Qualifications (Licenses, Skills, Trainings, Awards)
Essential Functions
Any difficulties standing on your feet all day?
Yes
No
Able to lift 30 lbs. from the floor to waist 10-15 times?
Yes
No
Able to communicate effectively in the English language (verbal and written?)
Yes
No
Able to observe, see, hear and respond to children's needs, emergencies and conflicts that might occur in a classroom, on the playground, or in bathrooms and common areas?
Yes
No
Able to handle stress, tension and exasperation that contact with many children brings every day?
Yes
No
Please explain your desire to work for A to Z Building Blocks
Employment History
If you sent a resume with employment information on it, please place a check mark in the box and skip this section.
May we contact this employer?
Yes
No
Company
Supervisors Name
Reason for leaving
Phone Number
Job Title
Hours worked per week
Start Date
End Date
Starting Salary
Ending Salary
References
Name
Phone Number
Address
Occupation
Name
Phone Number
Address
Occupation
Name
Phone Number
Address
Occupation
PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION. I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize A to Z Building Blocks to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. If requested, I agree to submit to a criminal and credit background investigation, and/or screening for illegal substances upon conditional offer of employment. I understand that this document is NOT an offer of employment, and that an offer of employment, if offered, does NOT constitute a contract for continued guaranteed employment. I understand that staff employees of A to Z Building Blocks serve at-will, and the employment relationship may be terminated at any time by either party, for any or no reason, other than a reason prohibited by law. If employed, I will be required to furnish proof of eligibility to work in the United States, to file a State security questionnaire and State loyalty oath, and to comply with company and departmental regulations. I understand that if employed on a temporary basis, I would be paid for hours worked only. I understand that the first SIX MONTHS of regular employment represent a provisional period.
I accept
Submit
