Warrington School/Board Of Trustees/Scale A - Application Form

Dear applicant, please copy and paste this application form and attach to your CV - thanks

Warrington School Scale A
1.POSITION APPLIED FOR: ___________________________________________ 2.PERSONAL DETAILS
 * Name:
 * Address:
 * Email:
 * Contact telephone  Home: ___________ Work: ____________ Mobile: ___________
 * Gender: (female / male): (for EEO purposes)
 * Ethnic identification: (for EEO purposes) _________________
 * Teacher registration number

3.Qualifications
 * (Educational and other relevant qualifications)
 * Qualification                                     Date Attained

4.Previous Employment 5.Please provide a short written statement outlining strengths.
 * Position
 * School
 * Length of Service

6.THREE REFEREES NAMES, ADDRESSES AND TELEPHONE NUMBERS: 7.CONFIRMATION:
 * I certify that the information given in this application is, to the best of my knowledge correct. I understand this may be verified.
 * In accordance with the Privacy Act I authorise the Board of Trustees to obtain further information from the referees listed in this application and consent to the referees disclosing such information to the Board.
 * Have you ever been convicted of an offence against the law (excluding minor traffic offences)?		Yes / No
 * Is there anything that may impact on your ability to perform your duties in this position?		Yes / No (trial question)


 * Applicants Signature
 * Date: