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

The Warrington Way

• 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

• Position
• School
• Length of Service

5.Please provide a short written statement outlining strengths.

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: