DSM: Employment Application

General Information
First Name
Middle Name
Last Name
Address
City
State
Zip Code
Home Phone
Work Phone
Other Phone
Email Address
Date of Birth
U.S Citizen	Yes No

Education
Bachelors
School
Year
Masters
School
Year
Doctorate
School
Year

Employment
Position One
Institution
Address
Phone
Title Held
Supervisor
Employment Dates
Salary
Position Two
Institution
Address
Phone
Title Held
Supervisor
Employment Dates
Salary
Position Three
Institution
Address
Phone
Title Held
Supervisor
Employment Dates
Salary

Music Education
What instruments are you capable of teaching?


What courses are capable of teaching?


Are you comfortable teaching fundamental musicianship on any instrument?


Is there a difference between music education and music lessons?


Is there a difference between a music educator and a music teacher?


What do you believe to be the characteristics of a great music educator?


What non-musical benefits do you feel are obtained through music education?


What criteria do you use to measure your success?


What criteria do you use to measure the success of a student?


What other disciplines offer similiar educational value and benefits as music?


Is it necessary for parents to participate in their child's music education?


How often and for how long should students practice?


What is the age range of your current and former students?


With what age group(s) do you prefer working?


List other experiences (managerial/leadership roles, computer skills, etc.)


Have you ever been convicted of a felony?
No
Yes

References
Reference One
Name
Address
Phone
Relationship
Reference Two
Name
Address
Phone
Relationship
Reference Three
Name
Address
Phone
Relationship

All information I have submitted is correct to the best of my knowledge.
Yes
No