VISION photograph here A mission school of choice, recognised for values-centred education and learning driven by passion, that nurtures men and women who make a difference to society
MISSION Enabling youth in a Lasallian community to learn how to learn and learn how to live; empowering them to become Men and Women of Integrity and Men and Women for Others
Please indicate the post that you are applying for:
Subjects that you are applying to teach (if you are applying for a teaching post): 1. 2. 3. PERSONAL DETAILS Title and Full Name as in Passport/Identity Card (underline Surname/Family Name):
Mr / Mrs / Mdm / Miss / Ms
Contact No: Email Address:
Nationality : Are you a Singapore PR? Yes / No*
Date of Birth: Country of Birth: Religion: Sex:
Marital Status: Single / Married / Divorced / Widowed / Separated*
REFERENCES (Name 2 referees in responsible positions who will be able to comment on your suitability for the position applied) No. of years Name Occupation Address of Employer / E-Mail Address known 1.
2.
Page 1 of 4 EDUCATION (List Secondary Schools, Universities and other Institutions attended and attach copies of relevant certificates and transcripts) QUALIFICATIONS From To ATTAINED (with (mm/yyyy) (mm/yyyy) Schools/Institutions Attended Country dates; for honours degree, state field of study and class of honours
TEACHER TRAINING QUALIFICATIONS
(Only if applying for academic position and basic degree is not a teaching qualification) Name /Country of Institution Qualification Obtained/Date Obtained Subject (s) / Levels Trained Language of Instruction
CCA AND COMMITTEES (if applicable)
Year CCA and Committees in School Post
EMPLOYMENT HISTORY (In chronological order, starting with your current or last employment). Please do not leave any part blank; period(s) of unemployment should also be stated From To Employer’s Position Held & Job Gross Monthly Reason for (mm/yyyy) (mm/yyyy) Name & Address Description Salary Leaving
Page 2 of 4 Personal Statement: Why are you considering employment in St Joseph’s Institution?
If you have not served National Service, state whether you have been exempted. If so, please quote Exemption Notice No. and date. Date Date State whether Full- Type of Service Enlisted Discharged time / Part-time Highest Rank Attained Army / SC/ VC / PDF
FAMILY BACKGROUND
Full Name Nationality Occupation
Spouse (if applicable) Children (if applicable)
Page 3 of 4 PLEASE ANSWER THE FOLLOWING Y/N* QUESTIONS
1. Have you ever been convicted in a court of law of any country? Yes / No
2. Have you ever been dismissed, discharged or Yes / No
suspended from employment?
3. Have you ever had, or are you - physical Yes / No
suffering from any impairment?
- disease? Yes / No
- mental Yes / No illness?
- medical Yes / No condition?
4. Have you ever had any surgical operation previously? Yes / No
If Yes, please give details:
5. Have you been or are you under any financial embarrassment i.e. (a) an undischarged bankrupt, (b) a judgement debtor, (c) have unsecured debts and liabilities of more than 3 months of last-drawn pay, (d) have signed a promissory note or an acknowledgement of indebtedness? If Yes, please give details. Yes / No
Have you ever submitted an application for a position at SJI before? Yes / No If yes, please state date and the position you had applied to.
DECLARATION
I declare that the particulars in this application are true to the best of my knowledge and belief and that I have not wilfully suppressed any material facts. Any misrepresentation or omission of information will be grounds for withdrawal of an employment offer or for dismissal.
______________________________________ ______________________________ Signature of Applicant Date
