CHRISTCHURCH RUDOLF STEINER AREA SCHOOL

JOB APPLICATION FORM

POSITION APPLIED FOR: …………………………………………………………………

PERSONAL DETAILS:

Surname: …………………………………………………………………………………

First Names: …………………………………………………………………………………

Address: …………………………………………………………………………………

…………………………………………………………………………………

Gender: Male / Female Date of Birth: …………. /……....…. /......

Phone: ………………………………………… Cellphone: ……………………………………..

Email: ………………………………………………………………………………………………….

Please attach copy of current practicing certificate.

Please supply full curriculum vitae if possible.

If a comprehensive and up-to-date curriculum vitae is appended as part of your application, go to References section otherwise complete all sections.

PREVIOUS PAID EMPLOYMENT:

Position / Employer / Dates / Duties

VOLUNTARY/EXTRA CURRICULAR WORK:

Please give relevant details, (use a separate page if necessary).

EDUCATION AND QUALIFICATIONS relevant to the position:

Qualification / Institution / Date Awarded

VOCATIONAL TRAINING:

Type of Training / Institution / Completion Date

REFERENCES:

Provide two written references from people who are prepared to be contacted for confirmation of details (previous employers preferred).

Name / Position / Address / Telephone

DECLARATIONS:

NB: If you answer yes to any question you must provide further information on a separate sheet.

Have you ever been found guilty of a criminal offence? YES / NO

Have you ever been dismissed from any teaching position? YES / NO

Have you ever had registration or classification as a teacher cancelled in any country? YES / NO

I, …………………………………………..…………… do solemnly and sincerely declare that to the best of my knowledge and belief, all the information given in this application is entirely true and correct. I authorise the school to make whatever enquiries necessary to confirm any of the details included in this application, to contact any previous employer, and to make any information thus gained available to those directly involved with employment matters in the school.

Signature: …………………………………………………………………………………

Date: …………… / …………… / ……………

Any information obtained relative to this application will be treated confidentially, in terms of the Privacy Act 1995, and is for School purposes only.