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Music Teacher Application  
 

Congratulations on considering one of the most rewarding career choices! While we look for promising candidates possessing superior music ability, First Note Inc. requires either a degree and/or prior experience so it is a great first step towards becoming more qualified for your future. It is our desire to offer teachers, at all levels, a chance to practice what they love and get paid for it!     

Please read carefully the following terms and conditions set forth in the teachers contract with First Note Inc. It is important for you to understand a commitment is required and that you know what is expected of you while teaching with First Note Inc. at all times. By signing this contract, you agree to abide by the terms and conditions of this Agreement for the duration of the teachers contract consisting of one year.
First Name: *
Middle Name:
Last Name: *
S.S.N.: *
DOB:
Phone:
Alternate Phone:
E-mail Address
 Current Address:
Street (Include apt#):
City:
State:
Zip:

Please list all educational Institutions attended:

Name: 
City/State: 
Degree Pursued:
Did you graduate?
If so, list Date
High School:
College: 
Graduate School
or Trade School:

 Please list any course of music studied and level reached, instruments you play, all experience with teaching and tutoring as well as any awards or certificates received:
 

Please list current and former employers for the past two years:

Company1:
Phone:
Supervisor Name:
Position and Time frame:
Company2:
Phone:
Supervisor name: 
Position and Time frame:

 Geographical areas you are able to work:
 Days and corresponding hours available to work:
 Do you have insurance on your vehicle?
 Insurance Company:  
 Policy Number:

 Have you ever been convicted of a crime? (Please circle one) Yes, No

 Please note that a conviction does not automatically disqualify an applicant.
 If Yes, please explain: (attach separate sheet if necessary)
 

 Do you have any allergies that would substantially interfere with driving or teaching ?
 e.g. Pollen,  Pet hairs, etc. Yes No 
 If  so list here:
            
 Are you in good health ? Yes No

Please list three people you are not related to, with whom you have been acquainted
 at least two  years:

Name:
Phone:
Street:
City: State: Zip:
Name:
Phone:
Street:
City: State:Zip:
Name:
Phone:
Street:
City: State:Zip:

   I hereby certify the statements and information given above are, to the best of my knowledge, completely true and correct.
   I further agree to authorize Firstnote Inc., to obtain a credit report/persona report on myself. If I am not hired, I can ask for a copy of this report. Furthermore, I am aware that should I be hired, my credit rating may directly effect the amount of students initially referred to me through Firstnote Inc. Currently, Firstnote will assign the most students to applicants with the best ratings.
   I also authorize Firstnote Inc., to do a criminal background check.

   By federal law when you submit this form in agreement by clicking the "submit" button
 you are entering into a contract with us if accepted.
   You are saying the information provided "is true to the best of your knowledge" as if
 signed in the presence of a notary public.
 

Applicant Signature:

Date:

  This form utilizes 128-bit Encryption for Your security

  

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Call 612-721-1999.