Teacher Application Form

Apply to teach at MAD Fabrics + Studio, LLC
Type of class(es) you are looking to teach:
Personal Information
Full Name*

First NameLast Name
Cell Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Teaching Experience

Please include job title(s), dates employed, employer name, and a brief description of your duties or the course(s) you taught, if applicable.
Relevant Positions/Experience*
Other Relevant Experience

Please list any other experience you have, including job title and description, dates, and employer name, if applicable.
In the field below, please respond to each of the following:

1. What experience do you have about the class topic you are applying to teach? May be different from previous classes taught.

2. Are you local to the DeKalb/Sycamore area? If not, please list your location.
Do you prefer to teach children (7+), adults, or both?*

Children (7+) with adult guardian presentAdultsBoth
Do you prefer to teach group classes, private lessons or both?*

Group classesPrivate LessonsBoth
If you prefer group classes, what group size do you prefer?*

Smaller (5 seats)Larger (More than 5 seats)
Do you prefer to teach weeknight or Saturday class times?*

WeeknightSaturdayNo PreferenceOther
BACKGROUND INFORMATION
Have you ever been found guilty, accepted a guilty, or entered a plea of no-contest for any criminal charge?*

YesNo
If you answered “yes” to any of the above questions, provide date, incident, specific charge, city/state in which it occurred:
Have you ever been the subject of an investigation into wrong doing or other formal/informal proceeding, resulting in disciplinary or criminal action?*

YesNo
Briefly explain any “yes” response(s):
Responding "yes" to any of the previous questions is not an automatic bar to teaching. The date of the offense and the relationship between the offense or infraction and the position for which you are applying will be considered.
By my electronic submission of this form:

• I attest that all the information contained in this application is accurate, complete, and true.

• I understand and accept that electronic submission will be considered equivalent to an original hand written signature on a paper copy of the application.
Name*

First NameLast Name
Date*

MonthDayYear
Date
Signature*

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For further information contact:

Rachael Turffs

Owner

MAD Fabrics + Studio, LLC

205 N 2nd St. Ste C

DeKalb, IL 60115

Email: connect@madfabrics-studio.com
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Apply to teach at MAD Fabrics + Studio, LLC

Personal Information