COSTA PIANO SHOPPES EMPLOYMENT APPLICATION
Costa Piano Shoppes of Port Jefferson is currently looking for Enthusiastic Music Teachers for our Lesson Studio. We have an established team of Piano Teachers, and are currently looking for teachers experienced in other instruments. Please Fill Out the Application Below. You May Fax Your Resume to 631-689-2499.
First Name
Last Name
Phone Number
Email
Primary Instrument of Instruction
Secondary Instrument of Instruction
Please Fill Out the Days of the Week and Times You Are Available
Availability
Education
High School
College
Trade, Business, or Correspondence School
Name and Location of School
Years Attended
Did You Graduate?
Subjects Studied
Previous Employment
Business Name & Address
Please fill in employment history starting with the most current
From (MM/YY) - To (MM/YY)
-
-
-
Position at Company
Address Street
City
State
Reason for Leaving
References
Name
Phone Number
Relationship
Background Check Consent
Have you ever been convicted of a felony?
Have you ever been convicted of a misdemeanor?
If you are considered for hire by Costa Piano Shoppes, do you give Costa Piano Shoppes permission to run a FCRA compliant background check on you? (This includes some or all of the following: County and State Criminal Records, SSN Verification, Address History, Sexual Offender Registry and OFAC exclusion Database.)
Please note: This is a requirment.
Do you give Costa Piano Shoppes permission to share your business resume with potential Costa Piano Shoppes clients who are interested in you as a teacher?
Please note: This is a requirment.
I hereby attest that all the information I have provided on this application is true.

MUSIC TEACHER APPLICATION
Monday
Thursday
Sunday
Saturday
Friday
Wednesday
Tuesday
YesNoG.E.D.
YesNo
YesNo
Yes   No
Yes   No
Yes   No
Yes   No
Yes   No