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• Dunwoody/North Fulton
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• Flowery Branch
• Fayetteville

Your Name

Email Address

Phone

Address

City/State/Zip

Primary Instrument

Secondary Instrument(s)

Do You Own Your Instrument(s)? Yes No Some

Years of Teaching Experience Less than 1 year 1 to 2 years 2 to 5 years 5 to 10 years More than 10 years

Available Days

Date You Can Start

Describe Your Teaching Methods:

Describe Your Musical Experience

College Name

College City and State

Major

Did You Receive a Music Degree? Yes No

Year Graduated/Degree Earned/GPA

College #2 Name

College #2 City and State

Major

Year Graduated/Degree Earned/GPA

Did You Receive a Music Degree? Yes No

Other Educational Comments

Current/Former Employer

Start Date/End Date

Contact Name/Phone

Position/Salary

May We Contact This Person? Yes No

Current/Former Employer #2

Start Date/End Date

Contact Name/Phone

Position/Salary

May We Contact This Person? Yes No

Other Employment Comments

Reference Name

Relationship

Reference Phone

Reference Email

May We Contact This Reference? Yes No

Reference #2 Name

Relationship

Reference Phone

Reference Email

May We Contact This Reference? Yes No

How Did You Hear About Us? Internet Search Referral NSM Employee Other

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