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Application for the MidMo Conservatory of Dance Teaching and Retail Team
Please fill out if you would like to be a part of our team!
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Email
*
Your email
First, Middle, and Last Name
*
Your answer
Full Address
*
Your answer
Best phone number to reach you
*
Your answer
Second phone number
Your answer
Social Security Number
Your answer
Date of Birth
MM
/
DD
/
YYYY
Regarding permission for a background check to be performed:
*
I give permission for MidMo Conservatory of Dance to do a background check.
I do not give permission for MidMo Conservatory of Dance to do a background check.
Past Dance History - please tell us in a paragraph what dance/music education you have had.
*
Your answer
Past Work History: Please list dates of employment, where you worked, and what you task you did at this job.
Your answer
Is it okay to contact this employer, if so please provide contact information?
Your answer
2nd Past Work History: Please list dates of employment, where you worked, and what you task you did at this job.
Your answer
2nd: Is it okay to contact this employer, if so please provide contact information?
Your answer
Please let us know if there is any other relevant work history we should know about.
Your answer
If you worked before as a dance instructor, please provide your average pay for that job.
Your answer
What would you like to do at MidMo Conservatory of Dance? Please include style of dance, age group you would like to teach, level of difficulty you would like to teach, and how much you believe you should get paid.
*
Your answer
References: Please list three references and their contact information. (These can be character references, former students, etc.)
Your answer
Mornings (9 a.m. - noon)
Afternoons (noon - 4:30 p.m.)
Evenings (4:30 p.m. - 9 p.m.)
Sundays
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Mornings (9 a.m. - noon)
Afternoons (noon - 4:30 p.m.)
Evenings (4:30 p.m. - 9 p.m.)
Sundays
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Anything we need to know about your schedule?
Your answer
How soon can you start?
Right Away
In two weeks
Next Semester
Option 4
Other:
Send me a copy of my responses.
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