Application for Skating Professional

Please print clearly

Date:__________________________

Name:

Social Security #:

Address:

Home Phone #:

Work Phone #:

Date of Birth:

Education

High School Attended:

Year Graduated:

College Attended:

Year Graduated:

Degree

Major:

Minor:

Skating History

How many years skating?________________

List U.S.F.S.A. Tests

List I.S.I. Tests Passed

List Teaching Experience as an Amateur

List Teaching Experience as a Professional

List Championships Won

Do you like working with children?

References (character and teaching ability)

Name (& position)

Address

Phone

1.

2.

3.