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Timeline Application EEO Data Specific Strengths Job Description Person Specification
Please Print and fill in and return to Hora Hora School
22 Te Mai Road Whangarei by snail mail
as we need your actual signature on this document to cover legalities.
APPLICATION FORM FOR THE POSITION OF
A Senior Teacher Position as advertised at Hora Hora School
closing 4.00pm March 12th 2010
PERSONAL DETAILS
Name
Address
Contact Phone Numbers (Home) Work
Email
PRESENT EMPLOYER
Name
Address
Contact Phone Numbers (Home) Work
Email
REFEREE (1)
Name
Address
Relationship to applicant
Contact Phone Numbers (Home) Work
Email
REFEREE (2)
Name
Address
Relationship to applicant
Contact Phone Numbers (Home) Work
Email
PRIVACY ACT 1993 (Must be signed by applicant)
This application is submitted on the understanding that any information given is for the use of the employer and their authorised representatives who may at any time have access to this information. I agree to the Board of Trustees (or its agents) approaching my referees for either written or verbal statements of my abilities in relation to this Application. Furthermore consent is given for members of Appointments Committee of the Hora Hora School Board of Trustees to make enquiries of my present or past employers or colleagues or any other person who may assist in establishing my suitability for the position at this school. I understand that I will undergo Police Vetting of any convictions.
APPLICANT'S SIGNATURE DATE
_______________________________________________________________
HAVE YOU EVER BEEN CONVICTED OF AN OFFENCE AGAINST THE LAW (for which yot coulkd have been imprisoned for 3 months or more?)
YES/NO
If YES, please provide date and details of offence/s on a separate sheet. Please note that as of Monday 22 April 2002 all persons employed in a NZ School will be vetted by the NZ Police.
I certify that I am registered (or provisionally registered) as a New Zealand Teacher, with a current Practising Certificate. I solemnly and sincerely declare that to the best of my knowledge and belief the information given in this application and in my C.V. is correct .
APPLICANT'S SIGNATURE DATE
_______________________________________________________________________
OFFICE USE ONLY Date Application received: Time:
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