<p> Ministry of Education</p><p>Department of Education—Human Resource Section</p><p>APPLICATION FOR DEPUTY PRINCIPAL Dame Marjorie Bean Hope Academy</p><p>Employee #: ______Dr. (Please refer to your pay stub) Full Name: Mr. Mrs. ______Miss Ms Email: ______</p><p>Home Address: ______</p><p>______</p><p>Telephone Nos.: Home: ______Cell: ______</p><p>Are you Bermudian? YES  NO</p><p>Are you a non-Bermudian married to a Bermudian? YES  NO </p><p>If “NO”, (please state nationality): ______</p><p>QUALIFICATIONS: (Academic, Professional, Technical) </p><p>University/College Degree(s)/Certificates Date Obtained</p><p>Special Courses Attended Relative to the post you are applying for:</p><p>Type of Course Date Result Organizing Length of Authority Course</p><p>EXPERIENCE: </p><p>Date of first appointment in the Bermuda Public School system: ______</p><p>Completed years of teaching service in the Bermuda Public School system: ______</p><p>Present school: ______</p><p>Teaching subjects: ______</p><p>______</p><p>Street Address – Covenant House, 64 King Street, Hamilton HM 12 Mailing Address – P. O. Box HM 1185 Hamilton HM EX Phone (441) 294-9036 Fax: (441) 296-6540 Email: [email protected] Website: www.moed.bm</p><p>D:\Docs\2018-04-13\0a9db30ad39cf0d3c9d26f0530ad2a10.doc Ministry of Education</p><p>Department of Education—Human Resource Section</p><p>Name of School Posts of Responsibility Held Dates Held</p><p>Other teaching experience: ______</p><p>______</p><p>Other relevant experience: ______</p><p>______</p><p>Relevant Professional Membership(s):______</p><p>______</p><p>______</p><p>Special Skills and Interests: ______</p><p>______</p><p>______</p><p>Please provide the names and contact numbers of two professional referees, one of whom must be your present principal. Such referees may not be relatives.</p><p>______</p><p>______</p><p>______</p><p>I certify that, to the best of my knowledge, the information contained in this application is a true and factual record, and I understand that should the information provided prove to be incorrect or misleading, then the appointment, either offered or in effect, may be cancelled.</p><p>Signature: ______Date: ______</p><p>Attachments as requested in the Circular:</p><p> A letter of application  Current resume  Most recent evaluation</p><p>Documents requested to be brought to the interview as outlined in the Circular:</p><p>Street Address – Covenant House, 64 King Street, Hamilton HM 12 Mailing Address – P. O. Box HM 1185 Hamilton HM EX Phone (441) 294-9036 Fax: (441) 296-6540 Email: [email protected] Website: www.moed.bm</p><p>D:\Docs\2018-04-13\0a9db30ad39cf0d3c9d26f0530ad2a10.doc Ministry of Education</p><p>Department of Education—Human Resource Section</p><p> Completed pre-interview questionnaire form </p><p>Street Address – Covenant House, 64 King Street, Hamilton HM 12 Mailing Address – P. O. Box HM 1185 Hamilton HM EX Phone (441) 294-9036 Fax: (441) 296-6540 Email: [email protected] Website: www.moed.bm</p><p>D:\Docs\2018-04-13\0a9db30ad39cf0d3c9d26f0530ad2a10.doc</p>