Instructors

Share your love of chess with a new generation.

If you are a chess instructor please fill out the form below to work with us. We teach chess, but more importantly, we teach life skills.

Instructor Application

Thank you for your interest in becoming an instructor with Newark Chess Club! The questions below will help us get to know you and see if you’re a good fit for our education program.

Personal Information

First Name *

Middle Initial

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Mobile Phone *

Employer *

Email Address *

Gender *

Ethnicity *

Year of Birth *

Experience

Please write a brief statement explaining why you are interested in being a chess instructor with Newark Chess Club. *

Do you have experience teaching chess? Please talk about that experience. *

Have you had experience working with children (paid or volunteer)? If yes, please explain. *

Which individual has served as a role model for you? Why?? *

References

Please list four references (please include at least one family member, one personal friend, and one work reference.

Reference One

First Name *

Middle Initial

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Phone Number *

Relationship *

Reference Two

First Name *

Middle Initial

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Phone Number *

Relationship *

Reference Three

First Name *

Middle Initial

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Phone Number *

Relationship *

Reference Four

First Name *

Middle Initial

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Phone Number *

Relationship *

Agreement

Please read and accept the two statements below.

Do you give consent to the use of any photographs of yourself for promotional purposes? *

In completing this application to be a volunteer, I understand that the Newark Chess Club may require criminal background checks for the position of instructor for which I am applying. This check may be done on me if I sign below. If I fail to sign, it may be grounds for declining me as a mentor. I also agree to abide by the rules and regulations of the program and fully discharge the Newark Chess Club from liability and claims resulting from my volunteerism. I certify to the best of my ability that the information provided on this application is true and accurate. I also understand that misinformation knowingly provided here is grounds for dismissal.Agreed

First Name *

Last Name *

Date *

Instructors

Share your love of chess with a new generation.

Instructor Application

Personal Information

Experience

References

Please list four references (please include at least one family member, one personal friend, and one work reference.

Reference One

Reference Two

Reference Three

Reference Four

Agreement

Please read and accept the two statements below.

Educators

Instructors

Mentors

Parents

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