Application Form PDF
Application Form PDF
1. Surname……………………………………………………………………………………………
2. Fist Names (in full) ………………………………………………………………………………..
3. Maiden Name (if applicable………………………………………………………………………..
4. Date of birth………………………………………………………………………………………..
Year Month Day
5. Birth Place…………………………………………………………………………………………..
(Town/District)
6. Sex…………………………………………………………………………………………………..
7. Marital Status……………………………………………………………………………………….
8. Nationality…………………………………………………………………………………………..
9. National Registration
Number…………………………………………………………………….......................................
10. Age and Sex of Each
Child…………………………………………………………………………………………………
……………………………………………………………………………………………………….
11. Home Address………………………………………………………………………………………..
12. Postal address…………………………………………………………………………………………
13. Present Employment (Name of school if teaching) …………………………………………………..
…………………………………………………………………………………………………………
14. Nature of present employment (if applicable) …………………………………………………………
15. Present Salary: (per annum) ……………………………………………………………………………
16. Date of Open on which free to accept post if offered ………………………………………………….
17. Type of Post preferred (delete inapplicable)
a) PRIMARY SCHOOL/SECONDARY SCHOOL
b) Residential Post (Applicable to Boarding Schools) YES/NO
c) Are you interested in taking slow learners? (Including E.S.) YES/NO
(Name three provinces in the country in which you would prefer to teach)
18. SCHOOLING
a) School name: ………………………..………………………………………………………
b) Subjects passed at ‘O’ level/Grade 11………………….……………………………………
…………………………………………………………………………….…………………
………………………………………………………………………………………………..
‘A’ level ……………………………………………………………………………………….
19. DEGREE COURSE
a) First Degree? YES/NO : CLASS OF Honours………………………………………….
Subjects taken for Degree Course
1st Year
2nd Year
3rd Year
4th Year
5th Year
b) Second Degree
NB; If there was any departure from the normal course of study, you are requested to give full
details ……………………………………………………………………………………………
20. TEACHER TRAINING
a) Institution ………………………………………………………………………………………………..
From ………………………to…………………………………………………………...
Month Year Month Year
b) Teaching Certificate(s) (give name and issuing authority)
……………………………………………………………………………………………………….
21. OTHER QUALIFICATIONS
NOTE: You are are required to produce your degree transcript, original professional and
academic certificates, or certified copies before you are confirmed on a salary grade
22. PREVIOUS EXPERIENCE
a) If you taught previously in Zimbabwe, please give your E.C Number or U.T.S Code number
………………………………………………………………………………………………………..
b) Previous Teaching Experience
Dates
Authority
……………………………………………………………………………………………………………..
……………………………………………………………………………………………………………..
……………………………………………………………………………………………………………..
23. REFERENCES: Please give Name an Address of two persons of standing reputation to whom
reference may be made. At least one of these must be acquainted with your recent work or study.
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
…………………………………………………………………………………………
24. EXTRA CURRICULAR ACTIVITIES: Teachers are required not take part in the extracurricular
activities of schools.
a) Do you offer any games? Please give details.
………………………………………………………………………………………………………..
………………………………………………………………………………………………………..
b) Do you offer any extracurricular activities? Please give details. …………………………………….
………………………………………………………………………………………………………..
25. Give particulars of any disabilities: ………………………………………………………………………
……………………………………………………………………………………………………………..
26. PERSONAL RECORD: Have you ever…
a) Been convicted of a criminal offence in any country? YES/NO
b) Served in public service in Zimbabwe? YES/NO
If any answer to the above is YES, please provide full details below.
…………………………………………………………………………………………
…………………………………………………………………………………………
Please list in order of preference subjects you are qualified to teach and give the level to which you could
teach (e.g., form ii, ‘O’ level, ‘A’ level)
………………………………………………………………………………………………
………………………………………………………………………………………………
I certify that the information provided on this form is accurate to the best of my
knowledge.
…………………… ……………………….