CROWN CHRISTIAN SCHOOL EMPLOYMENT PROFILE FORM 1. INSTRUCTIONS

CROWN CHRISTIAN SCHOOL
EMPLOYMENT PROFILE FORM
1. INSTRUCTIONS
(a)
This form combines the application form CCS November 2014 and the CV into one EMPLOYMENT PROFILE
FORM. This is the only form that will be recognised when applying for vacant posts advertised.
(b)
A separate application form must be submitted in respect of every post applied for.
(c)
Every application must be accompanied by certified copies of educational qualifications, certified ID and
SACE.
(d) All applications must be submitted as indicated in the advertisement in accordance with the instructions
appearing in the vacancy list.
(e)
It is compulsory that all sections of the form be completed as honestly as possible where applicable.
(f)
Please PRINT. Mark blocks with an X where applicable.
(g)
Only original signatures (no photocopies of signatures) will be valid on this form. Faxed or e-mail copies of this
document will be accepted.
(h)
Post number MUST be in correct format e.g. CCSOO5P (NO EXCEPTION WILL BE ALLOWED)
2. PARTICULARS OF ADVERTISED POST
Name of School
(as advertised in vacancy list)
Post Description
(as stated in the advert e.g. Educator)
Post Number
(as stated in the advert) (ONE digit per block please)
(e.g.) CCSFPH001)
Post
Level
NOVEMBER
2014
(please refer to the List of Vacancies [as advertised] for instructions to complete this form)
CCS EMPLOYMENT FORM 2
3. PERSONAL PARTICULARS OF APPLICANT
SURNAME & INITIALS
S
NAME(S)
H
I
O
N
R
T
T
E
L
R
I
V
S
I
T
E
I
W
PERSAL NO (if currently/previously
employed)
I.D. NO (attach copy of ID doc with
an original stamp of certification)
GENDER (male/female)
Male
RACIAL GROUP (for Employment Equity Purposes)
African
Female
Coloured
Indian
White
Are you professionally registered
(PLEASE STATE BODY AND NUMBER)
(e.g. SACE/HPCSA)
Do you have a disability? (Yes or No)
if yes, indicate Nature
Yes
No
Are you a South African Citizen
Yes
No
If NO, what is
your nationality
Do you have a valid work permit?
(Foreigners Only) Yes/No
Yes
No
If YES, permit no
(foreigners only)
Have you been convicted of a
Yes
criminal offence (if yes, attach details
on a separate sheet)
No
Have you been charged with
misconduct (if yes, attach details on
a separate sheet)
Yes
No
Are you currently employed?
Yes
No
Have you been employed in the
Yes
No
If yes, how was your service
terminated? Please indicate date
VSP (voluntary RESIGNED
N
ILL HEALTH
severance package)
G
MISCONCUCT
Other
(specify)
4. CONTACT DETAILS
Telephone numbers during office
hours
Telephone numbers after office
Fax number
Cell number
Email Address
5. LANGUAGE PROFICIENCY—STATE ‘GOOD’, ‘FAIR’ OR ‘POOR’
LANGUAGES (specify)
Speak
CCS EMPLOYMENT FORM 3
Write
Read
6. QUALIFICATIONS (ATTACH SEPARATE SHEET IF NECESSARY)
School/University/
college
Qualification (s)
Subjects
Date Obtained
Attach certified copies of all qualifications and subject statement (in case of PL 1-3)
7. PROFESSIONAL QUALIFICATIONS (i.e. Secondary Teachers Diploma)
Institution
Qualification (s)
Subjects (specify major
Date Obtained
Attach certified copies of all qualifications and subject statement
8.
ADDITIONAL QUALIFICAIONS / COURSES ATTENDED (e.g. OBE Course)
Name of Course
Service Provider
Duration of course
1.
2.
3.
4.
5.
9.
EXPERIENCE
(a) CURRENT EMPLOYMENT
Department/Employer
Institution
Post
Level
Earning Areas &
Grades
EXACT
DATES
From
TOTAL
To
Years
Month
CCS EMPLOYMENT FORM 4
(b) PREVIOUS EMPLOYMENT IN EDUCATION
Department/Employer
Institution
Post
Level
Earning Areas &
Grades
EXACT
DATES
From
TOTAL
To
Years
Month
10. EXTRA AND CO-CURRICULAR ACTIVITIES (Other capabilities, e.g. projects)
TYPE OF ACTIVITY
ORGANISATION
DURATION
1.
2.
3.
11. NON-TEACHING/COMMUNITY EXPERIENCE (e.g. church, social affairs, etc.)
ORGANISATION
POSITION HELD
TYPE OF ACTIVITY
1.
2.
3.
12. SKILLS (e.g. communication, computer, etc.)
1.
2.
3.
13. PERSONAL QUALITY TRAITS (i.e. your strengths)
1.
2.
3.
DURATION
CCS EMPLOYMENT FORM 5
14. OTHER RELEVANT INFORMATION
1.
2.
3.
15. REFERENCES (Preferably Professional reference)
NAME
CONTACT DETAILS
RELATIONSHIP
1.
2.
3.
16. DECLARATION
I declare that the above information provide (including any attachments) is true and correct to the best of my
knowledge. I understand that any false or incorrect information could lead to my application being disqualified
or to me be discharge on account of misconduct if appointed. Failure to disclose will result in disqualification.
_____________________________________
SIGNATURE OF APPLICANT
__________________________
DATE
Please Note: Only original signature will be regarded as valid (photocopied signatures will not be acceptable)