Parkland Music Academy

All Fields are Required to be considered for Employment.  You will also need to email us a current photo, along with your application after submitting this form.  You can take this opportunity to attach your personal resume, links to performance videos, band pages, any any other information you wish to submit: 

Please send this email to us, by following the link, below the submit button:

 

Instructor Basic Information

All on-line applications are secure and strictly confidential. Personal Information  Name:      Address:  City:  State / Zip: Alabama Alaska Arizona Arkansas California Colorado Connecticut D.Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming      E-mail:  Home Phone:  Cell Phone:     Social Security #: Driver's License #: State of Issue #: Expiration Date: Date of Birth:     Background Information In connection with my employment at PMA, I hereby authorize PMA to conduct a security background check on me. I understand that this security check will cover information such as criminal history, education and employment, sanctions/exclusions, and professional licensure/certifications. I understand that this background check may include information from previous employers relating to my work experience.  I certify that the statements made by me on this form are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I understand that any false statements made herein could void my consideration for employment, or could result in disciplinary action up to, and including termination.   Background Information Disclosure Have you ever been convicted of, had adjudication withheld, or entered a pre-trial diversionary program regarding any of the following: (1) ANY felony, (2) ANY crime against another person, (3) ANY crime involving moral turpitude, or (4) ANY crime of violence? If you answered yes, please attach, via e-mail, a statement of disclosure explaining all such situations that caused you to answer yes to any of the below questions, including the details of the crime, the date of conviction and penalty imposed (if any) along with any mitigating factors that you would like the PMA to consider: No  Yes In the past ten (10) years, have you had a documented history of repeated abuse of alcohol and/or illegal/prescription drugs or any conviction for the manufacture/sale of illegal drugs? If you answered yes, please attach, via e-mail, a statement of disclosure explaining all such situations that caused you to answer yes to any of the below questions, including the details of the crime, the date of conviction and penalty imposed (if any) along with any mitigating factors that you would like the PMA to consider: No  Yes Have you ever been a Defendant in a civil action for an intentional tort? If you answered yes, please attach, via e-mail, a statement of disclosure explaining all such situations that caused you to answer yes to any of the below questions, including the details of the crime, the date of conviction and penalty imposed (if any) along with any mitigating factors that you would like the PMA to consider: No  Yes   Background Check Agreement I understand that by submission of this application for employment with PMA,  I will be subjected to periodic background checks, at an unnanounced schedule set by PMA, using whatever services or methods that PMA deems appropriate. The results of this background check may be used to deny me the right to begin employment or end current employment with PMA.  My electronic signature below authorizes PMA to periodically run a legally sensitive criminal history check at any time in the future based on the information I have provided. I also understand that should PMA discover criminal activity that I have not disclosed to PMA, that my status as an employye/instructor can be revoked. Failure to properly and completely disclose a past criminal history will result in denial of your application and/or employment with PMA. Failure to truthfully answer the above questions will result in the automatic disqualification of the application. In addition to the information above, you assert that the information on this form is accurate and complete and you voluntarily consent to a background check being performed.     Digital Signature   I Agree  :  Signature of  Name:   If you do not agree with the background check, please do not submit our application for employment. Lesson Information     Instrument? Select One . . . Guitar Bass Guitar Singing / Vocal Drums Piano Other     Which day(s) would you be available for lessons? Which time(s) would you be available for lessons?     List any Degrees obtained or Honors you currently have or are currently enrolled towards: If you are currently enrolled, we will need a copy of your current admission/class schedule for verification Describe any teaching experiences / trainings you have had:     List your current employer, Manager, Date Started, Phone & Salary:     List your Previous employer, Manager, Dates Employed, Phone, Salary & Reason for leaving:     What are your best attributes, your worst attributes and why should you be an Instructor at PMA?      Additional Comments:     REQUIRED TO SUBMIT: Please Type PMA in this field:   All Fields are Required to be considered for Employment.  You will also need to email us a current photo, along with your application after submitting this form.  You can take this opportunity to attach your personal resume, links to performance videos, band pages, any any other information you wish to submit:  Please send this email to us, by following the link, below the submit button: