Personal Details

    Please tick one

    Registration Details

    Registration*

    Qualifications

    Please list degrees, diplomas, certificates, and teacher training qualifications noting the year of qualification.

    Present Employment - Position Held

    Teaching Experience

    References

    Name, address and telephone numbers of two references who can comment on both your recent teaching ability and your character.

    Can we contact your present and/or previous employer?

    You are welcome to expand on other experiences relevant to being a good teacher and on your particular strengths and interests or you may enclose a detailed Curriculum Vitae.

    Registration Details

    Have you ever been convicted of any offence against the law excluding minor traffic offences?*

    Are you currently charged with any offence against the law excluding minor traffic offences?*

    Have you had a complaint of sexual harassment upheld against you?*

    Do you have any complaints of sexual harassment filed against you currently?*

    Have you ever been dismissed from a teaching position?*

    The information I have provided is a correct and accurate record.*

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