Teacher Registration

Name*
First Middle Last
Birthdate*

Please select your birthdate or enter it in mm/dd/yyyy format.
Street Address*
Street Address Street Address (2) City State/Province Postal Code Country
Mobile Phone Number*
Please enter your mobile number so that you can receive sms reminders for upcoming lessons. You may decline this service at any time.
Email Address*

Tell us about yourself
Why are you interested in working for Care2Rock?*
If you have taught music in the past, how many years of music teaching experience do you have?*
If you are a professional musician, how many years have you worked or toured as a professional musician?*

What instruments do you teach? List in order of proficiency, and indicate level of proficiency for each (Basic, Intermediate, Advanced)*

Instrument	Proficiency

If you have a Youtube video of yourself teaching or performing, please enter the embed URL here.
Please check all of the following educational levels that you have completed*
- High School Diploma (or equivalent)
- Some College
- Associate’s Degree
- Bachelor’s Degree
- Master’s Degree or other advanced degree
- Other
Other education
How many days per week will you generally be able to teach?
Please enter a value between 1 and 168.
What days will you be able to teach?
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday

Caring & Giving
Are you interested in volunteering to teach a child in foster care for 30 minutes each week?*
Do you have a criminal record? (Misdemeanors, felonies, etc.)*
- Yes
- No
Please describe your criminal record below
Note: We will conduct a criminal background check on all applicants before candidates begin teaching with us
Technical requirement acknowledgement*
- I understand that a webcam, microphone, computer or similar device, and an internet connection of at least 500 kbps down is required for this position.
Teacher Agreement*

https://care2rock.com/care2rock-independent-music-teacher-agreement/
Teacher Agreement*
- I have read and understood the Teacher Agreement.
Online videoconference acknowledgement*
- I understand the interview will be conducted online via webcam with the requirements specified above.

References
In order to make informed decisions about the teachers we list on our site, Care2Rock needs to contact references regarding your teaching experience and history. Please provide us 2 references and their contact information. These must include at least one professional reference that can speak to your teaching or musical ability, and may not include your family members.
Reference #1 Name*
First Last
Reference #1 Relationship*
Other relationship*
Please specify the relationship of reference #1 to you.
Reference #1 Email Address*
Reference #1 Phone Number

Reference #2 Name*
First Last
Reference #2 Relationship*
Reference #2 Other relationship*
Please specify the relationship of reference #1 to you.
Reference #2 Email Address*
Reference #2 Phone Number
How did you hear about us?

Tell us about yourself