Providenciales Primary School - Provo Primary School

Providenciales Primary School - Provo Primary School

Providenciales Primary School APPLICATION FOR A TEACHING APPOINTMENT At: For school use only Providenciales Primary School SLIST REFS Post: Please...

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Providenciales Primary School APPLICATION FOR A TEACHING APPOINTMENT At:

For school use only

Providenciales Primary School SLIST

REFS

Post: Please use black ink, ballpoint pen, or typescript as it will be necessary to photocopy your application. A curriculum vitae/resume may be submitted, but you must still complete all sections of this form. All applications will be acknowledged. This form should be returned, together with a detailed letter of application giving your reasons for applying, to Ms Alison Williams, Providenciales Primary School, PO Box 329, Graceway, Providenciales, Turks and Caicos Islands. They may be emailed to [email protected] or faxed to 649 9415553

1. PERSONAL DETAILS Surname (Block capitals)

Forenames

Title (Mr/Mrs/Miss/Ms/Other)

Maiden/previous name

Home address (Block capitals)

Address for correspondence (if different)

Telephone number (Home)

Telephone number (Work)

Email address (Home)

Email address (Work)

Date of birth

/

Place of birth

/

DES/DFE/DFES number

Sector of education qualified for

/

Date of recognition as qualified teacher

/

Have you successfully completed a period of probation/induction? YES/NO Date completed

/

/

2. PRESENT POST Present post Subjects taught

Age range taught

Name and address of school/institution

Name and address of employing authority or LEA (if different)

Type of school (eg. Secondary/primary/infant/junior/grammar/comprehensive/grant-maintained/special/college of further education) Number of pupils Current annual salary

Co-ed/boys/girls

£ or $

Date appointed

/

/

Please indicate the latest date on which you would have to give notice to your current employer in order to take up this post

/

/

3. EMPLOYMENT HISTORY previous Teaching service, including temporary appointments, starting with the most recent. Please give full details as this section is used for salary assessment. Name and type of school/institution

Age range

Post held and grade if applicable. If part-time what percentage

Subjects taught

Date of service From To month/year month/year

Reason for leaving

4. OTHER EMPLOYMENT Employers name and address

Post held (state if part-time or full-time)

Duties involved

Employment From To

5. EDUCATION School attended (secondary phase establishments only)

Dates attended From To

Colleges/University attended

Dates attended From To

Qualifications gained Subjects

Part-time/Full-time

Grades

Dates

Qualifications gained (Subject, Class, Division)

6. OTHER QUALIFICATIONS RELATED TO CURRENT OR PREVIOUS EMPLOYMENT Name of professional body

Membership grade

Was membership gained by examination?

Date

7. TRAINING AND DEVELOPMENT In-service training attended in the last three years plus earlier significant courses Courses

8. HOBBIES AND INTERESTS

Qualifications gained (if applicable)

Dates

9. HEALTH RECORD It is necessary for you to provide details in answer to each part of this section, you may enclose the information in a sealed envelope marked ‘confidential’. How many days have you been absent from work due to illness or injury over the past 12 months? Have you had any serious illness requiring medical consultation or admission to hospital in the last two years? If YES please specify

DAYS

YES/NO

Have you had any health problem which might interfere with work? If YES please specify

YES/NO

Are you registered disabled? If YES please specify

YES/NO

10. DECLARATION OF CRIMINAL BACKGROUND Have you had any criminal convictions/cautions?

YES/NO

11. REFERENCES (Note: Relatives may not be given as referees) Please give the names and addresses of two referees. The principal referee will normally be your present Principal/Head Teacher/Head of Service. We expect to be in contact with your referees without further communication with you, unless you indicate otherwise. Name

Name

Position

Position

Address

Address

Telephone Number

Telephone Number

Fax Number

Fax Number

Email Address

Email Address Referees’ contact addresses/telephone numbers if different during the month of application.

12. DECLARATION I DECLARE that the above answers are true and complete to the best of my knowledge and belief. I understand that should I make a false statement by answering one of the above questions incorrectly, I will, if appointed, be liable to termination of my contract without notice. Signature

Date

/

/