Independent Contractor Application for Music Teachers

To the applicant: Thank you for your interest in our organization. Your application will be considered without regard to race, creed, color, sex, age, national origin, disability, or any other protected class status. To enable us to properly and fairly evaluate your application, please answer all of the questions as carefully and completely as possible.
Personal Information
Are interested in teaching remote lessons?
- Yes
- No
What instrument(s) do you want to teach?*
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Cell Phone*
Home Phone
Work Phone
Do you carry your own Worker's Compensation coverage?*
- Yes
- No
Do you carry your own General Liability coverage?*
- Yes
- No
Your Education
College*
Institution Name City / State Years Completed Graduate? Degree
Graduate School
Institution Name City / State Years Completed Graduate? Degree
Other Special Training
Institution Name City / State Years Completed Graduate? Degree
List any scholastic honors, awards*
Describe any other school or specialized training*
Major in college*
Major instrument*
Minor in college*
Minor instrument*
Teaching History
Please provide information covering your teaching history. Cover your last three positions.
Organization/School*
Start Date
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Organization/School
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Organization/School
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
If you worked in any of your previous positions under another name, please give that name below (for reference checking purposes)
Teaching References
List people for whom you've worked (or taught) who have personal knowledge of you character, experience, and capability. If you have a limited teaching history, you may also list teachers, advisors, or college professors who know you. (We must be able to reach at least three references).
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Organization/School*
Comments:
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Organization/School*
Comments:
Please upload your Resume and a Letter of Recommendation.
Letter of Recommendation*
Accepted file types: pdf, doc, docx, Max. file size: 8 MB.
Resume*
Accepted file types: pdf, doc, docx, Max. file size: 8 MB.
ACKNOWLEDGEMENT: I grant permission for the Company to contact the references I have listed above; I also authorize my references to provide any information to the Company that they deem appropriate regarding me or my work with the reference.
Signature (full name)*
Date*
MM slash DD slash YYYY

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Independent Contractor Application for Music Teachers

Personal Information

Your Education

Teaching History

Teaching References