Instructor Application

Personal Information

Last Name First Name Middle Initial

Address Apt Num
City State Zip

Email Address

Home Phone Cell Phone

Are you over 18 years of age? Yes No

Are you legally eligible for employment in this country? Yes No

Background

Have you ever been terminated or asked to leave any job? Yes No
If yes, please explain.

Have you ever pleaded “guilty” or “no contest” to, or been convicted of a crime? Yes No
If yes, please describe the type of crime, date of conviction and penalty imposed.

Have you ever been named as a defendant in a civil action for an intentional tort (wrongful act)? Yes No
If yes, please describe the nature of the tort (wrongful act) and the disposition of the action.

Answering “yes” to these questions does not constitute an automatic bar to employment. Factors such as date of the incident, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.

Position/Availability

Instrument(s)/Voice that you teach:

Age range of students that you teach:

Ability levels that you teach:

Are you interested in teaching special programs? Yes No
If yes, please list/describe the programs you wish to teach.

Seeking: Full-Time Part-Time
Hours Per Week Days NOT Available

Are you able to meet the attendance requirements of the position(s) applied for? Yes No

Driver’s license number if driving is relevant to the job: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

What date are you available to start work?

Education

Are you a high school graduate? Yes No
Name and location of school

Are you a college graduate? Yes No
Name and location of school
Degree and Major

Are you a tech or trade school graduate? Yes No
Name and location of school
Major and degree or certificate

List any apprenticeships or other education

Describe any training, education, or self-study that you feel is relevant to Music Showcase

References (not immediate relative)

Name Phone

Name Phone

Employment History (most recent first)

1

2

3

Resume & Comments (optional)

A resume is strongly recommended when applying for a teaching position. It should describe your experience and/or qualifications for musical instruction. You may copy and paste a plain text version of your resume into the following field. If you wish to send us a formatted version,

Resume:

Additional Comments or Cover Letter:

Applicant Statement

Music Showcase is an Equal Opportunity Employer, and will consider all applicants, without regard to race, sex, age, color, religion, national origin, veteran status or disability as provided in the Americans with Disabilities Act. If I accept a position at Music Showcase, I agree that I will abide by the requirements of the policies and procedures of Music Showcase.

I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer’s service, whenever it is discovered.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, public records, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, or in a résumé or job interview. I hereby waive and release any and all rights and claims I may have regarding: the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process; and all other persons, corporations or organizations for furnishing such information about me.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and agree that the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice. I agree that nothing in this application, or conveyed to me during any interview, is intended to create an employment contract. I further agree that, if hired, I will not have any contract for employment, and that no promise has been made of employment for any specific period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer’s president.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

DO NOT CHECK THE BOX BELOW UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.