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Application Form - May 22 Peds

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0% found this document useful (0 votes)
72 views3 pages

Application Form - May 22 Peds

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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Ministry of Higher and Tertiary Education, Innovation,

Science and Technology Development

Mutare Teachers’ College


Postal Address
P. O. Box 3293
Paulington. Mutare, Zimbabwe
Tel No: 263-020-60380/66672
Email: [email protected]
Fax: 263-020-64665
Website: www.mutareteachers.ac.zw

APPLICATION FORM FOR DIPLOMA IN EDUCATION (PEDAGOGICS)


MAY 2022 INTAKE
Form MP Number LEARNING AREA
Number

INSTRUCTIONS
 Write in the spaces provided or tick in the appropriate box. Please print.
 Attach certified copies of educational certificates, birth certificate, identity card, any proof of work
experience and marriage certificates for women with registered marriages.
 In D2, please indicate your choice of Learning Area.
 Downloaded forms will be submitted to the ADMISSIONS OFFICE upon production of proof of payment.
 Successful applicants will be required to produce police clearance.
PART A: PERSONAL DETAILS

Title: (Mr.; Mrs.; Miss.; etc.) _____ SURNAME:


________________________

FIRST NAME(S)

DATE OF BIRTH: / / / AGE: yrs.

NATIONALITY: I.D. NO:

MARITAL STATUS: Married Single Widowed Divorced

HOME ADDRESS: CONTACT ADDRESS:

HOME TEL NO. CONTACT TEL NO / CELL.


________________

NEXT OF KIN (Name) Phone Number

RELATIONSHIP TO APPLICANT: (Father, mother, uncle, etc…)


Do you have any physical disability, which requires specialist services? Yes No
If yes, indicate the nature of your disability by ticking the appropriate box:

Physical Visual Hearing Albinism Any other (specify)

PART B: EDUCATIONAL QUALIFICATIONS


PASSES IN ‘O’ LEVEL ENGLISH LANGUAGE AND MATHEMATICS ARE A PREREQUISITE.
`A` LEVEL
SUBJECTS/COURSES/ COLLEGE/SCHOOL YEAR GRADE SCORE (For
PROGRAMMES STUDIED AND ATTENDED OBTAINED ATTAINED official use)

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PASSED

`O` LEVEL
SUBJECTS/COURSES/PROGRAMMES COLLEGE/SCHOOL YEAR GRADE SCORE (For
STUDIED AND PASSED ATTENDED OBTAINED ATTAINED official use)

TECHNICAL/ VOCATIONAL/ DIPLOMA / DEGREE QUALIFICATIONS

SUBJECTS/COURSES/PROGRAMMES COLLEGE/SCHOOL YEAR GRADE SCORE (For


STUDIED AND PASSED ATTENDED OBTAINED ATTAINED official use)

PART C: EXPERIENCE
(i) TEACHING EXPERIENCE
(If you have a teaching experience indicate number of years by ticking in the appropriate box and attach proof of
experience e.g. photocopy of pay slip.
A teaching experience up to 1yr between 1 & 2yrs more than 2 yrs. none

(ii) OTHER WORK EXPERIENCE


Do you have any work experience other than teaching? Yes No

If yes, indicate the number of years: up to 1yr between 1 & 2yrs more than 2yrs none
(Tick in the appropriate square and also attach any relevant proof of work experience e.g. photocopy of pay slip)
State nature of employment.

PART D: SUBJECT CHOICES


Study the information in the table D1 and use it to choose the learning area you wish to study

D1. DIPLOMA IN EDUCATION (PEDAGOGICS)

LEARNING AREA MINIMUM REQUIREMENTS


1. Accounting At least an ND or better
2. Business Studies At least an ND or better
3. Building Technology and Design At least NC or Brick and Block laying
4. Agriculture At least a diploma in Agriculture or better
5. Clothing Textiles Technology and Design At least an ND or better
6. Food Science Technology and Design At least an ND or better
7. Art Technology and Design At least a Diploma in Applied Art and Design or better

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8. Computer Science At least an ND or better

In D2 complete the table


D2
LEARNING AREA
GRADES OBTAINED AT SCORE (For
official use only)
‘O’ LEVEL ‘A’ LEVEL TECHNICAL/ VOCATIONAL/ DIPLOMA / DEGREE
QUALIFICATIONS

Justify your choice of profession and subject(s).

DECLARATION: I ……………………………………………………… declare that the information given in this form is true.

SIGNATURE: ………………………………………………………………. Date……………………………………….

PART E: FOR OFFICIAL USE ONLY

DOCUMENTS CHECK
Form fully completed ‘O’ Level English Language, Mathematics
Birth Certificate Certified ‘O’ Level Certificate(s)
Identity Card Certified ‘A’ Level Certificate(s)
Work Proof Professional certificate/s

Checked by: Verified by:

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