<p>Application form for Rumukoroshe</p><p>Please complete and return with a recent c.v. to [email protected]</p><p>A PERSONAL DETAILS</p><p>Surname</p><p>Forenames </p><p>Present Location </p><p>Address for correspondence</p><p>Telephone (+ country code) Fax (+ country code) </p><p>E-mail </p><p>Permanent Address (if different from above)</p><p>Telephone (+ country code) Fax (+ country code) </p><p>E-mail </p><p>B GENERAL QUESTIONS</p><p>Have you previously applied for a post with Shell?</p><p>Yes. If so, when? </p><p>No</p><p>How did you hear about the possibility of working in a Shell School?</p><p>Teacher Application Page 2 of 7</p><p>C. QUALIFICATIONS</p><p>Examinations at A Level, or secondary school equivalent.</p><p>Date Subject Grade Awarding Body</p><p>Examinations at degree level. </p><p>Date Subject Grade Awarding Body</p><p>Teaching qualifications.</p><p>Date Qualification Age group qualified to teach Awarding Body</p><p>Other professional qualifications.</p><p>Date Subject Qualification/Level Awarding Body</p><p>Other relevant qualifications</p><p>Date Subject Qualification/Level Awarding Body</p><p>Teacher Application Page 3 of 7</p><p>D PROFESSIONAL INFORMATION</p><p>Your DCSF number or other teacher registration number Age groups you are qualified for and prefer to teach Early Years Yes No 5 to 7 Yes No 8 to 12 Yes No Specialist Subjects ie those subjects which you have had experience of leading</p><p>Other subjects for which you feel qualified to act as coordinator</p><p>Recent school-based professional development activities</p><p>Other professional development activities</p><p>Experience in running extra-curricular clubs, etc</p><p>Other extra-curricular clubs you would be willing to offer</p><p>Details (with grades) of any musical instrument you play</p><p>Details of any specialist teaching skills (eg music, ESL, swimming, French)</p><p>Detail your experience delivering the International Primary Curriculum</p><p>Detail your experience delivering an English Language Curriculum</p><p>E ADDITIONAL INFORMATION</p><p>Is there any location in which you would not be prepared to work? What period of notice are you required to give to your present employer?</p><p>Do you have a current driving licence? Teacher Application Page 4 of 7</p><p>F EMPLOYMENT IN TEACHING</p><p>Name and address of school (starting with most recent) From/Until Position Held Year groups taught Reasons for leaving 1 </p><p>2 </p><p>3 </p><p>4 </p><p>5 </p><p>G OTHER EMPLOYMENT</p><p>Name and address of employer Nature of business (starting with most recent) From/Until Position Held and responsibilities Reasons for leaving 1 </p><p>2 </p><p>3 Teacher Application Page 5 of 7</p><p>H REFERENCES</p><p>Please give the names, addresses and telephone numbers of three people who can provide references. One of these must be your present Head Teacher or employer.</p><p>1 Name </p><p>Relationship </p><p>Address </p><p>Telephone (+ country code) E-mail </p><p>2 Name </p><p>Relationship </p><p>Address </p><p>Telephone (+ country code) E-mail </p><p>3 Name </p><p>Relationship </p><p>Address </p><p>Telephone (+ country code) E-mail </p><p>I Please Complete the Section below. Limit your statements to a maximum of 300 words for each response.</p><p>Describe a situation where you have created a dynamic learning environment.</p><p>Teacher Application Page 6 of 7</p><p>Describe an experience you have had of successful classroom management.</p><p>Please give details of how you have contributed to the development of a team.</p><p>Describe your personal vision and state how this has enhanced your own professional development. Teacher Application Page 7 of 7</p><p>By submitting this application you acknowledge that:</p><p>The information contained in this application is, to the best of your knowledge, accurate and truthful. You recognise that any falsified material will result in your application being disregarded and any offer of employment being withdrawn.</p><p>You confirm that you have no criminal record which would debar you from taking up a post requiring contact with young people of school age.</p><p>If your application is successful, you will need to apply for an Enhanced Disclosure from the Criminal Records Bureau, or police check in your home/resident country.</p><p>Date: </p>