Desired Position:
---Social Media DirectorDevelopment DirectorBoard of Director (Volunteer)Events CoordinatorStudio Center Director

Applicant Information:

Full Name:

Email Address:

Home Address:

City/State/ZIP:

Number of years at this address:

Daytime phone:

Evening phone:

Mobile phone:

Social Security Number:

Driver's License (State/Number):

Emergency Contact:

Who should be contacted if you are involved in an emergency?

Full Name:

Home Address:

City/State/ZIP:

Relationship to you::

Daytime phone:

Evening phone:

Who referred you to our company?

Do you have any friends or relatives who work here? If yes, please list here:

Are you at least 18 years old? YesNo

If you are offered employment, when would you be available to begin work?

Are you able to perform the essential functions of the job position you seek with
or without reasonable accommodation?
YesNo

What reasonable accommodation, if any, would you request?

Applicant's Skills

Check those skills that you have. Enter the number of years of experience, and circle the number which corresponds to your ability for each particular skill. (One represents poor ability, while five represents exceptional ability.)

TypingMicrosoft Office Suite (Word, Excel, etc.)Customer servicePiano SkillsTeaching SkillsSight-Reading MusicZoom Platform Management

List any other skills that may be useful for the job you are seeking.

How many years of experience do you have with each skill selected/listed above? Rate your how proficient at each skill on a scale of 1 to 5. (One represents poor ability, while five represents exceptional ability.)

Applicant Employment History

List your current or most recent employment first. Please list all jobs (including self-employment and military service) which you have held, beginning with the most recent, and list and explain any gaps in employment. If additional space is needed, upload a resume at the end of this application form.

Include the following information:
1. Employer Name
2. Supervisor Name
3. Address
4. City/State/ZIP
5. Job Duties
6. Reason for Leaving
7. Dates of Employment (Month/Year)

Applicant's Education and Training

College/University Name and Address

Did you receive a degree?
YesNo

High School/GED Name and Address

Did you receive a degree?
YesNo

Other Training (graduate, technical, vocational):

Please indicate any current professional licenses or certifications that you hold:

Awards, Honors, Special Achievements:

References

List any two non-relatives who would be willing to provide a reference for you.

Include the following information:
1. Name
2. Address
3. City/State/ZIP
4. Telephone
5. Relationship

Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer:

Upload Resume: