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MWSA Teacher/Assistant Application
Instructions: Answer all questions. Sign and date the form.
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Full Name
Your answer
Street Address
Your answer
City, State, Zip
Your answer
Phone Number
Your answer
Email Address
Your answer
Are you eligible to work in the United States?
Yes
No
Clear selection
Are you under the age of 18?
Yes
No
Clear selection
If under the age of 18, what grade are you currently attending?
Your answer
Name and Address of School - Degree/Diploma - Graduation Date
Your answer
Skills & Qualifications: Licenses, Skills, Training, Awards
Your answer
Position Applying For:
The main instructor is responsible for the planning of each lesson plan and will be in charge during the classes. The assistant assists in the classroom.
Main Instructor
Assistant
Lab Class Assistant
Clear selection
Availability
Times: Classes for MWSA can only be taught during the indicated times twice a week per class. Check all of your availibilty.
7:00 - 7:45 am
8:00 - 8:45 am
2:10 - 2:55 pm
3:45 - 4:30 pm
Friday Lab classes (3:30 or 4:30 pm)
Days of the week: Check all of your availibility
Monday
Tuesday
Wednesday
Thursday
Friday
Transportation
Would you be able to drive 15-20 minutes to teach at any given school?
Yes
No
Clear selection
Do you have a vehicle for your own transportation?
Yes
No
Clear selection
What day are you available to begin working?
Your answer
Experience
What instrument do you play? (Check all that apply)
Violin
Viola
Cello
Bass
What other instruments are you familiar with playing?
Your answer
Explain your string education background.
Your answer
Indicate all teaching experience you have:
Your answer
Why are you interested in teaching with us?
Your answer
Employment History
Present or last position title:
Your answer
Employer:
Your answer
Address:
Your answer
Supervisor:
Your answer
Phone:
Your answer
dates of employment here:
Your answer
Responsibilities
Your answer
May we contact your present employer?
Yes
No
Clear selection
References:
Name/Title/Address/Phone
Your answer
I certify that information contained in this application is true and complete.
I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.
ESignature:
Your answer
Date:
Your answer
If not submitting here - You may mail information to:
Mountain West String Academy
PO Box 203
Mendon, Utah 84325
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