Employment Information Apply Now PA Child Abuse History Clearance PA State Criminal Record Check FBI Federal History Records Act 168 Form Act 126 Training Safe Environment Mandated Reporter Apply Online Step 1 of 8 12% Applicant InformationDate of Application* MM slash DD slash YYYY Position Desired Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Address* Home Phone Number*Mobile Phone Number* Preferred Region Delaware New Jersey Montgomery/Bucks Counties, PA Chester/Delaware Counties, PA Philadelphia, PA Allentown, PA Other How did you learn about Northeastern Music Programs?AdvertisementEmployment AgencyEmployee ReferralOtherEmployee Name Have you applied for a position with us before?NoYesPlease Specify Date MM slash DD slash YYYY Have you ever been employed with us before?NoYesPlease Specify Date MM slash DD slash YYYY Please Specify Position Salary Desired Are you currently employed? Are you available to work: Full Time Part Time Are you legally permitted to work in the United States?Note: Proof of eligibility will be required within three working days of employmentYesNoAre you 18 years of age or older?If no, you may be required to provide authorization to work.YesNoHave you been convicted of a felony within the last 7 years?NoYesPlease ExplainNote: Such conviction does not necessarily prevent you from employment. Menchey Music Service, Inc. is an equal opportunity employer. High School EducationName and Location of School No. of yrs. Attended Degree Received Subjects Studied/Major College EducationName and Location of School No. of yrs. Attended Subjects Studied/Major Degree Received In which state/states are you certified to teach? Employment HistoryPlease list at least three of your past employers with the most recent first.Employer Name (most recent) Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone NumberPosition Title DutiesStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Starting Pay Ending Pay Reason for Leaving Employer Name Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone NumberPosition Title DutiesStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Starting Pay Ending Pay Reason for Leaving Employer Name Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone NumberPosition Title DutiesStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Starting Pay Ending Pay Reason for Leaving Musical BackgroundPlease list all instruments played, number of years of musical experience, level of proficiency, etc.Upload ResumeMax. file size: 128 MB.Menchey Music Service, Inc. is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability, handicap or veteran status or any other form of discrimination prohibited by law. Applicant’s certification and agreement I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and I authorize Menchey Music Service, Inc. to verify their accuracy and to obtain reference information on my work performance. I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application can be grounds for termination from the Company. I understand that if I am hired my employment is for no definite time and may be terminated at any time without prior notice.Signature of Applicant*Date MM slash DD slash YYYY Δ
