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Job Application >

Teaching 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. Ph 06 278 4145; Fax 06 278 1039; principal@hawerahs.school.nz

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. TEACHER REGISTRATION:

Are you currently registered as a teacher?: Yes No
Do you hold provisional registration?: Yes No
Teacher registration number:

4. QUALIFICATIONS:

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

5. PRESENT EMPLOYMENT:

Teaching position held:
Date appointed:
Tenure: permanent part-time relieving other
if other, specify
If not teaching, state present occupation:

6. TEACHING SERVICE:

Position 1: School:
Principal subjects & levels taught:
Date duties commenced: Date duties ceased:

Position 2: School:
Principal subjects & levels taught:
Date duties commenced: Date duties ceased:

Position 3: School:
Principal subjects & levels taught:
Date duties commenced: Date duties ceased:

7. OTHER RELEVANT EXPERIENCE/ INTERESTS, ETC:

8. SUITABILITY FOR POSITION:

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

9. CO-CURRICULAR ACTIVITIES:

State the co-curricular activities that you are prepared to assist with.

10. 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:

11. DECLARATIONS:

1. Have you ever been convicted of a criminal offence?: Yes No
2. Have you ever been dismissed from any teaching position?: Yes No
3. Have you ever been refused registration or classification?: Yes No
4. Have you ever had teacher registration/classification cancelled in any country?: Yes No
5. 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
6. Is there any other reasons why you should not work in a school environment?: Yes No
7. Would you have any difficulty with the school being a non-smoking zone? : Yes No

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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