Jan Stivers, Owner/Director 360 Wright Rd. Suite B, Norwalk, IA 50211 515.981.4298 515.981.4338 fax

Employment Application

Norwalk Superstars, Baton, Dance & Tumbling center began in Norwalk in 1981. We are looking for team players that will enjoy working with our students to help them achieve their goals while having fun at the same time.

Please fill out the form below as completely as possible. Once you have completed the form please submit using button below. We will respond to your Application in a timely fashion.

Date: State: Name: Zip: Address: Phone: City: Email:

Applying for the Position of:

Related Work Experience:

Education: List most recent degree or diploma first. Include career-related training, such as adult education and/or college courses

Are you willing to get your safety certification? (dance/tumbling) Yes No

Would you be willing to organize and run a preschool program? Yes No

Are you available daytime? Yes No Saturdays Yes No

Would you be interested in teaching a competition team? Yes No

What age of children do you like to teach best?

What instruments to you teach? (music)

Employment History - Please provide information for your previous 2 employers

Position Title: Full-time: Company: Part-time: Dates: Duties and Responsibilities: Supervisor Phone:

Position Title: Full-time: Company: Part-time: Dates: Duties and Responsibilities: Supervisor Phone:

In the text field below please include any additional information you feel would be relevant to your Application.

To submit please select the button below. Thank you for your Application.

Norwalk Superstars is an Equal Opportunity Employer. If you have any questions please feel free to contact us at 515.981.4298. You may also email us.