Job Application Legal Name * First Name Last Name Email * Phone * (###) ### #### I would like to teach at: * Spring Hill, FL: 12503 Spring Hill Drive Bayonet Point, FL: 8149 State Rd 52 I am confident that on an advanced level, I can teach: * Accordion Strongly Disagree Disagree Neutral Agree Strongly Agree Banjo Strongly Disagree Disagree Neutral Agree Strongly Agree Bass Guitar Strongly Disagree Disagree Neutral Agree Strongly Agree Bassoon Strongly Disagree Disagree Neutral Agree Strongly Agree Bugle Strongly Disagree Disagree Neutral Agree Strongly Agree Cello Strongly Disagree Disagree Neutral Agree Strongly Agree Clarinet Strongly Disagree Disagree Neutral Agree Strongly Agree Drums Strongly Disagree Disagree Neutral Agree Strongly Agree Flute Strongly Disagree Disagree Neutral Agree Strongly Agree French Horn Strongly Disagree Disagree Neutral Agree Strongly Agree Guitar Strongly Disagree Disagree Neutral Agree Strongly Agree Harp Strongly Disagree Disagree Neutral Agree Strongly Agree Mandolin Strongly Disagree Disagree Neutral Agree Strongly Agree Oboe Strongly Disagree Disagree Neutral Agree Strongly Agree Piano Strongly Disagree Disagree Neutral Agree Strongly Agree Piccolo Strongly Disagree Disagree Neutral Agree Strongly Agree Saxophone Strongly Disagree Disagree Neutral Agree Strongly Agree Trombone Strongly Disagree Disagree Neutral Agree Strongly Agree Trumpet Strongly Disagree Disagree Neutral Agree Strongly Agree Tuba Strongly Disagree Disagree Neutral Agree Strongly Agree Ukulele Strongly Disagree Disagree Neutral Agree Strongly Agree Viola Strongly Disagree Disagree Neutral Agree Strongly Agree Violin Strongly Disagree Disagree Neutral Agree Strongly Agree Voice Strongly Disagree Disagree Neutral Agree Strongly Agree Background Check * As a condition of my candidacy for employment with Adventures in Music, I understand that the company will conduct a criminal background check on me for employment purposes. By signing this Acknowledgement and Authorization, I authorize Adventures in Music and /or any other company authorized by the Adventures in Music, to access such information as may be necessary to complete a criminal background check. I release from liability all persons and entities supplying such information. I indemnify Adventures in Music, and /or any other company authorized by the Adventures in Music, against any liability which may result from making such requests. I agree that a fax or photocopy of the Acknowledgment and Authorization with my signature will be accepted with the same authority as the original. I understand that upon my request, I will be given a copy of the background report and, when applicable, a written description of my rights under the Fair Credit Report Act. I believe to the best of my knowledge that all information provided below is accurate, true and correct, and that I fully understand the terms of the Acknowledgment and Authorization. I agree I disagree Are there any students whom you would feel uncomfortable teaching? * Is there anything specifically you would like to let us know about? Availability * Please give us an idea of when you would like to teach. We accept students from 10:30AM - 9:00PM Monday - Friday and from 10:00AM - 6:00PM Saturday and Sunday. How did you find out about us? Thank you! We’ll be in touch soon.