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Teacher Application
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Name
First Middle Last
Your answer
Date of Application
Your answer
Present Address (Street/City/State/Zip)
Your answer
Telephone
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E-Mail Address
*
Your answer
If under 18, please list current age:
Your answer
What instruments do you teach?
Your answer
Do you play any instruments other than the ones listed that you teach?
Your answer
Are you involved in any local bands? If yes which one(s)?
Your answer
What store Location would you teach at
Please be specific.
Your answer
Please fill in the days and times you are available to teach.
Jim's Studio is available between 9am and 10pm.
Monday
Please fill in the times you are available
Your answer
Tuesday
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Your answer
Wednesday
Please fill in the times you are available
Your answer
Thursday
Please fill in the times you are available
Your answer
Friday
Please fill in the times you are available
Your answer
Saturday
Please fill in the times you are available
Your answer
How many hours can you teach weekly?
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When would you be available to start?
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Please list your past teaching experiences.
Please list all educational history, including a list of schools attended (name + address), # of years completed, and any major/degree.
Your answer
Do you have any degrees or certifications relating to your instrument?
Yes
No
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Why would you like to teach here?
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What made you start teaching?
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What is your philosophy on teaching?
Your answer
Please list any available references.
Please list two references other than relatives or friends.
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Have you ever been convicted of a crime? If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
Your answer
Work Experience
Please provide a list of work experience from most recent to least recent for the last 5 years. Please include employer address, name of supervisor, dates of employment, salary, title, and reason for leaving.
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May we contact your current employer?
Yes
No
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Additional Information
Please summarize any additional information necessary to describe your qualifications for the specific position you are applying for.
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