Employment Application

Full Name: Alexander James Pavlak

Address: 2514 Pinery Circle, Highland, MI. 48356
Phone No. 248-909-7797
Social Security No. 369-11-1291
Are you legally entitled to work in the United States? Yes
Are you 18 years old or older? Yes
What position are you applying for? Piano Teacher
If you are hired, when can you start work? Right Away
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Education
High School
Name of School: Homeschool
Location: 2514 Pinery Circle, Highland, MI. 48356
Number of years attended: 4
Did you graduate? Yes
Trade School
Name of School: _______________________
Location: _______________________
Number of years attended: _____________
Did you graduate? _____________________
College and Post Graduate
Name of School: Spring Arbor University
Location: 106 E. Main Street, Spring Arbor, MI. 49283
Number of years attended: 4
Did you graduate? Yes
What degree? Social Studies/Music
Name of School: _______________________
Location: _______________________
Number of years attended: _____________
Did you graduate? _____________________
What degree? __________________________
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Employment History
Beginning with your most recent employment and working back in time, please give the following
information:
Job Title: Lifestyle Coach
Employer: Carls Family YMCA
Address: 300 Family Dr. Milford, MI. 48381
Duties: Greet members, set them up on workout machines, clean machines, do laundry, organize
weight room, etc.
Dates of Employment: 04/2013-Current
Supervisor: Karen Flowerday
Reason for Leaving: Currently working there
Job Title: Photographers Assistant
Employer: R. L. Knight Photography
Address: Lake Orion, MI.
Duties: Sell hockey photos to customers, edit photos using photoshop, handle cash from transactions
Dates of Employment: 02/2013-Current (Seasonal/Occasional)
Supervisor: Roger Knight
Reason for Leaving: I still work for him on occasion
Job Title: Piano Accompanist
Employer: Spring Arbor University
Address: 106 E. Main Street, Spring Arbor, MI. 49283
Duties: Performed piano for voice lessons
Dates of Employment: 10/2008-05/2012
Supervisor: Diane Kintigh
Reason for Leaving: I graduated
Job Title: Caddy
Employer: Orchard Lake Country Club
Address: 5000 West Shore, West Bloomfield, MI. 48283
Duties: Carry golf bag, give advice to golfer, clean clubs, repair divots, etc.
Dates of Employment: 05/2006-07/2010
Supervisor: John Gilbert
Reason for Leaving: Felt the need to move on

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Personal References
Please provide the names of three references who are not related to you.
Name: Gail Lowe
Address: 1451 Bogie Lake Rd. White Lake, MI. 48383
Phone: 248-889-3227
Relationship: First piano teacher I had (from when I was 9 years old until 18).
Name: Diane Kintigh/Jaime Teichmer
Address: 106 E. Main Street, Spring Arbor, MI. 49283
Phone: 517-750-6493
Relationship: Diane was my supervisor while working as a piano accompanist. Also, you can speak with
Jaime Teichmer, who was my piano teacher for 4 years at SAU, by asking Diane if she is available.
(Unfortunately I wasnt able to find a direct contact for Jaime; the number listed above will contact Dianes
office which is the office of the music department for Spring Arbor).
Name: David Rawson
Address: 106 E. Main Street, Spring Arbor, MI. 49283
Phone: 517-750-6455
Relationship: My political economics professor at Spring Arbor University. He taught 3 of my
political/historical classes (each 3 credits). He also provided me with the opportunity to participate in the
Model Arab League, which is much like the Model UN, at Grand Valley State University during my Junior
year.

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Additional Qualifications
Please tell us about any other training, education, skills or achievements that you feel should be considered.
I have performed piano in 8 Federations of Music and have received the highest score of Superior for each
performance. I have also performed in over 17 piano recitals including at the college level. Also, Ben
Crockett, a composition of music major, asked me to perform in 2 of his compositional recitals, each of
which I performed on the piano with two other instruments. I have also performed on the piano in what
Spring Arbor University calls its music labs which are basically smaller versions of recitals that are aimed
at further developing each musicians skills in performing. I have also taken 2 semesters of jazz band while
attending SAU. During those 2 semesters I became more skilled at playing piano in a band setting. I also
gained greater experience playing piano with a band by working 1 semester in SAUs pep band.
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Print Name:

My answers are true and complete. I understand that if I am hired, any false or incomplete statements in
this application will be grounds for immediate discharge.
Date: 02/08/2014
Applicant's Signature: