Music Director Application Form

Employment Application
Applicant Information:
Full Name *

First M. I. Last
Address *

Street Address

Street Address Line 2

City State

Zip Code
Phone Number *

Area Code Phone Number
E-mail *
Birth Date *

Month Day Year
Are you a U.S. Citizen? *

Yes No
Have you ever been convicted of a felony? *

Yes No
If yes, explain
Employment Desired:
Position Applying For *
Salary Desired *
Date You Can Start *

Month Day Year
Have You Worked Here Before? *

Yes No
Education:
High School
Name of High School Attended
Address
City, State
Number of Years Attended
Graduated?

Yes No
College
Name of College/University Attended
Address
City, State
Number of Years Attended
Graduated?

Yes No
Area of Study/Degree
Other
Name of Other School/Training Center Attended
Number of Years Attended
Graduated?

Yes No
Area of Study/Degree
Skills/Qualifications:
Skills *
List any relevant skills
Qualifications *
List any relevant certifications or qualifications
Current Employment:
Current Employer *
Name of Current Employer or NONE if not Employed
Address
City, State
Phone Number

Area Code Phone Number
Position
Starting Salary
Ending Salary
Start Date

Month Day Year
Reason for Leaving?
Supervisor
May We Contact?

Yes No
Previous Employment:
Previous Employer
Name of Previous Employer
Address
City, State
Phone Number

Area Code Phone Number
Position
Start Date

Month Day Year
End Date

Month Day Year
Ending Salary
Reason for Leaving?
Previous Employer
Name of Previous Employer
Address
City, State
Phone Number

Area Code Phone Number
Position
Start Date

Month Day Year
End Date

Month Day Year
Salary
Reason for Leaving?
References:

Please list professional references.
Reference 1 *
Name of Reference
Relationship *
Years Acquainted *
Phone Number *

Area Code Phone Number
Email
Reference 2 *
Name of Reference
Relationship *
Years Acquainted *
Phone Number *

Area Code Phone Number
Email
Cover Letter & Resume:
Cover Letter
Resume
Disclaimer and Signature
PLEASE READ CAREFULLY BEORE SIGNING BELOW

I certify that the answers which I have given to the foregoing questions and statements are true and complete to the best of my knowledge, and that I have withheld no information or other responses that would, if disclosed, affect this application unfavorably. I understand that any misleading or incorrect statements or responses may render this application void and, if employed, may result in my immediate termination regardless of the point in time at which the misleading or incorrect statement or responses was discovered.

By signing my name below I certify that I have read or have had read to me, the information above. I understand the contents and hereby acknowledge receipt of this information.
Candidate eSignature *
Type Name as Signature
Candidate eSignature Date *

Month Day Year
Should be Empty:

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Employment Application

Applicant Information:

Employment Desired:

Education:

Skills/Qualifications:

Current Employment:

Previous Employment:

References:

Cover Letter & Resume:

Disclaimer and Signature