Submit Your Information - Chicago, Illinois


If you are interested and qualified in teaching piano, voice or guitar lessons, please complete and submit the form below or contact us by phone:

Personal Information: * Indicates Required Fields

*First Name: *Last Name:  
Home Phone: *Cell Phone: Work Phone:
*Address: *City: *State: *Zip:
*Email: How often do you check it?
Emergency Contact Person & Relationship:
Emergency Contact Person’s Phone Number:

Education- Degree(s) Obtained:

High School Diploma
Bachelor’s Area (List Degree, Emphasis, Instrument and Institution):
Masters Area (List Degree, Emphasis, Instrument and Institution):
Other (List Degree, Emphasis, Instrument and Institution):
Are you currently enrolled in college or secondary school? Yes No   Where?
Full Time    Part Time
Expected Graduation Date: Major:
How did you hear about us? (Please be specific. If internet, which site or search engine? If newspaper, which one?)
What primary instruments are you interested in teaching?
What secondary instruments are you interested in teaching?
What is your teaching philosophy?
Please list any previous music teaching experience, including the number of years you have taught and the age ranges of the students that you have taught:
Have you had any experience working with young people? (Explain)
Please list the method books from which you would feel comfortable teaching for your primary and secondary instruments:
Are you currently studying music? Yes No
How long have you studied music?
Are you interested in performing? Yes No
Are you interested in continuing your pedagogical training through our course offerings?
Yes No Maybe   Comments:
Are you available to take courses during the day?
Yes No Maybe
Comments:
Would you be willing to submit a musically based article on our website?
Yes No
Are you or any of your family members affiliated with another music institution in the area?
Yes No
If so, please specify.
Have you ever been convicted of a crime?
Yes No
Have you ever been disciplined, discharged or arrested for fighting, assault or related offenses?
Yes No
Have you ever been disciplined, discharged or arrested for being under the influence of drugs and/or alcohol, for their possession, use or unwillingness to take or ability to pass a drug and/or alcohol test?
Yes No
Have you ever been charged/accused by any entity, including past employers, of misconduct or have you been reprimanded, censured, suspended, dismissed or otherwise disciplined by any entity, including past employers, for misconduct?
Yes No
Have you ever been reprimanded, censured, suspended or disciplined by any professional disciplinary body?
Yes No
Do you have reliable transportation?
Yes No
Are you legally eligible to work in the United States?
Yes No Eligibility Pending
Work permit work expiration date: N/A
Can you perform the necessary functions of this job?
What languages do you speak and/or write fluently?
What cities/suburbs would you like to teach in?
How many students are you looking for?
What are the days and times you would prefer to teach?
(The majority of our students prefer lessons M-F between 3:00p-8:00p).
Are you currently working? Yes No   Where? What is your current position?
Number of hours per week:
How long have you been working at this job?
What are your plans in regard to your present position?
I certify that the information I have provided for this application is truthful and accurate to the best of my knowledge.
Yes No