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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
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Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
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4
Primary Phone Number
Area Code
Phone Number
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5
Email Address
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6
I Am Available To Teach (Check all that apply):
All Day
9:00
10:00
11:00
12:00
1:00
2:00
3:00
4:00
5:00
6:00
Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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Saturday
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Sunday
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
All Day
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6:00
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All Day
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6:00
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2:00
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3:00
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4:00
Row 4, Column 8
5:00
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6:00
Row 4, Column 10
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9:00
Row 5, Column 1
10:00
Row 5, Column 2
11:00
Row 5, Column 3
12:00
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1:00
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2:00
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3:00
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7
Date Midbell Can Begin Scheduling Students For Me
-
Date
Month
Day
Year
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8
My Primary Instruments
Please list your primary instruments below.
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9
My Secondary Instruments
Please list your secondary instruments below.
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10
I Play Or Have Played In The Following Performing Group(s) Or Ensemble(s):
Example: Sioux City Symphony, XYZ Rock Band
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11
EDUCATION BACKGROUND
Please list degrees with accompanying institutions and fields of study.
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12
Formal Teaching Experience
Please list institution name's with accompanying ensemble(s) and time period.
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13
Informal Teaching Experience
Examples: Taught drum set lessons at my home from '98 to 2004
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14
I Would Be Interested In Teaching:
Please check all lesson types that apply.
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Private Accordion
Private Bass (Guitar)
Private Bass (Upright)
Private Cello
Private Clarinet
Private Double Reeds
Private Drum Set
Private Flute
Private Folk Instruments
Private Guitar
Private Harmonica
Private Horn in F
Private Jazz Improv
Private Percussion
Private Piano/Keyboard
Private Recorder
Private Sax
Private Trombone
Private Trumpet
Private Tuba/Euph
Private Viola
Private Violin
Private Voice
Group Guitar
Group Jazz Improv
Group Piano/Keyboard
New Horizons Band
Jazz Big Band
Orchestra Ensemble
Other
Private Accordion
Private Bass (Guitar)
Private Bass (Upright)
Private Cello
Private Clarinet
Private Double Reeds
Private Drum Set
Private Flute
Private Folk Instruments
Private Guitar
Private Harmonica
Private Horn in F
Private Jazz Improv
Private Percussion
Private Piano/Keyboard
Private Recorder
Private Sax
Private Trombone
Private Trumpet
Private Tuba/Euph
Private Viola
Private Violin
Private Voice
Group Guitar
Group Jazz Improv
Group Piano/Keyboard
New Horizons Band
Jazz Big Band
Orchestra Ensemble
Other
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15
I Prefer The Following Method Book(s) For The Students I Teach:
Example: Essential Elements for Band
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16
Ray's Midbell Music will be compiling a bio of each teacher so that potential students and/or parents can read about who is available for lessons in the Learning Center. Please check one of the following... "If I were to be selected as an Independent Contractor for Ray's Midbell Music Learning Center, I would prefer:
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17
IMPORTANT NOTICE
A BACKGROUND CHECK AND/OR CREDIT REPORT is required prior to hiring as Independent Contractor. This notice is in compliance with federal fair credit reporting act sections 604(a)(3)(A). I hereby authorize Ray's Midbell Music to procure a background check and/or credit report.
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