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Teacher Application Form (2)

The document is an application form for an educator's post, requiring details about the applicant and the post. It includes sections for personal particulars, qualifications, teaching experience, and references. The applicant must certify the accuracy of the information provided.

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DITLHAKE PRINTS SPECIALISTS DPS
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2 views

Teacher Application Form (2)

The document is an application form for an educator's post, requiring details about the applicant and the post. It includes sections for personal particulars, qualifications, teaching experience, and references. The applicant must certify the accuracy of the information provided.

Uploaded by

DITLHAKE PRINTS SPECIALISTS DPS
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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EDNW2

APPLICATION FOR AN EDUCATOR'S POST

A. PARTICULARS OF THE POST


A1. Institution

__________________________________________________________________________________________________________________________________________________

A2. Post Description and Post Level:

_________________________________________________________________________________________________________________________________

A3. Post Number and additional details

_____________________________________________________

B. PARTICULARS OF APPLICANT

B1. Surname: ____________________________________________________ B2. First Names: ___________________________________ B3. Initials: __________

B4. Date of Birth: _____________________________ B5. ID Number: ______________________________________ B6. SA Citizen: YES NO

B7. Gender: M F B8. Marital Status: Single Married Divorced Widow Widower B9. Number of dependants:

B10. Disability: YES NO B11. Specify

B12. Contact address: ________________________________________________________________ B13. Tel: _______________________________________

________________________________________________________________ B14. Fax: _______________________________________

B15. E-Mail: _____________________________________

B16. Present post description and level B17. Name and address of institution where presently appointed

_______________________________________________________ ________________________________________________

________________________________________________

B18. Persal Number: B19. Are you a foreigner? YES NO

B20. SACE REG No: _________________________________ B21. Expiry date of work permit: __________________________

1
C. QUALIFICATIONS

Qualifications Certificates, Diplomas and Name of Institution Subjects passed Month and Normal
degrees obtained College/Technikon/University year obtained Duration of
course

C1. School
Mention highest standard
passed only

C2. Professional
E.g. Teachers Diploma

C3. Academic
e.g. BA degree

C4. Technical
e.g. N.T.C.III

C5. Further field of study

C6. SUMMARISED EVALUATION OF QUALIFICATIONS


Circle relevant qualification category (if applicable) Professionally qualified For office use

M+
REQV
Yes No
12 13 14 15 16 17 18

D.TEACHING EXPERIENCE

D1. Total number of completed years of teaching experience years

D2. Analysis of education experience posts held


Phase e.g. Primary or Post level Post held Subjects taught Standard or Grade Language medium
secondary

2
E. MAJOR SUBJECTS/SUBJECTS QUALIFIED TO TEACH

E1. ___________________________________________

E2. ___________________________________________

E3. ___________________________________________

F1. Have you previously worked for the Department? YES NO

F2. Have you ever been dismissed from your previous employer? YES NO

F3. If yes; please provide reasons ______________________________________________________________________________

G. NON-TEACHING EXPERIENCE

Years of service Employer Summary of nature of employment

H. REFERENCES (Work Related)

Name of Referee Tel No./Cell No E-Mail

1.

2.

3.

I. DECLARATION

I hereby certify that the particulars are correct in all respect.

Signature of applicant Date / Datum

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