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Job Application >

Ancillary Staff Position

NOTE
Application for a teaching position is by the completion of this form and the provision of a curriculum vitae. (Brief details should be given on the form under all headings. Points may be expanded in the CV.) Please attach CV as a separate file or mail to: The Principal, Mr P Ryan, Hawera High School, PO Box 437, Hawera, 4640, Taranaki.

The closing date for the position is noted in the Education Gazette and the information pack.

1. POSITION:
2. PERSONAL DETAILS:
Surname: First names:
Previous surname:
if used in teaching
Title:
Postal Address: Date of Birth:
Phone:
home
Phone:
work
Fax: Email:

3. QUALIFICATIONS:

Certificates, degrees, diplomas, or other relevant qualifications:
Major subjects or papers passed & levels (date and year completed):

4. PRESENT EMPLOYMENT:

Position held:
Date appointed:
Tenure: permanent part-time other
if other, specify

5. EMPLOYMENT HISTORY:

Position 1: Organisation:
Key duties:
Date started: Date ceased:

Position 2: Organisation:
Key duties:
Date started: Date ceased:

Position 3: Organisation:
Key duties:
Date started: Date ceased:

6. OTHER RELEVANT EXPERIENCE/ INTERESTS, ETC:

7. SUITABILITY FOR POSITION:

Please provide a brief statement as to why you feel you are suited to this position at Hawera High School.

8. REFEREES:

List the names of at least three referees. Supply their designation, address and phone number. Approval is given for the Hawera High School Board of Trustees to contact referees and inquire about the professional performance of the applicant.

Referee 1:

Name: Position:
Address: Phone:

Referee 2:

Name: Position:
Address: Phone:

Referee 3:

Name: Position:
Address: Phone:

Referee 4:

Name: Position:
Address: Phone:

9. DECLARATIONS:

1. Have you ever been convicted of a criminal offence?: Yes No
2. Have you ever been dismissed from any position?: Yes No
3.Are you aware of any medical condition which the Hawera High School Board should take into consideration in deciding whether to appoint you to the position?: Yes No
4. Are there any other reasons why you should not work in a school environment?: Yes No
5. Would you have any difficulty with the school being a non-smoking zone?: Yes No

Note: All appointees to school positions are required to have a police vet with a satisfactory outcome. This procedure will be arranged by the school.

I,      do solemnly and sincerely declare that to the best of my knowledge and belief the information given in this application is true and correct. I also authorise the Hawera High School Board of Trustees to verify detail provided in this form or the accompanying curriculum vitae.

Date:

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