HILTON COLLEGE HILTON COLLEGE AVENUE HILTON 3245 The Hiltonian Society (Incorporated Association Not For Gain) Application for Appointment Appointment as Job application reference In the job advert (if applicable) Personal details Surname Previous Surname(s) if applicable Title (Mr/Mrs/Miss/Ms/other) Date of Birth Forenames Nationality Present Address ID Number If no ID number is available, do you have evidence of your entitlement to live and work in South Africa? Postcode Date of Teaching Qualification Telephone Number [day] [evening] SACE ref.no. Cell When can you start? E Mail May we ring you at work Details of Current Employment Position Name of Company/School Address Postcode Telephone Facsimile Full time / Part time Starting Date Notice Required Page 1 of 5
Description of Duties: (please use continuation sheet if necessary) Previous Employment Please give below details of all your previous employment, starting with the most recent. (Holiday jobs whilst a student need not be included). Exact dates of employment and reason for leaving must be given. Please provide explanations for any periods not in employment, self employment or further education/ training. Name of Company/School Post Held Date of employment FROM TO Page 2 of 5
Education and Qualifications From To Secondary School Attended Date Examination Level Grade Date Examination Level Grade From To University / College Attended (if applicable) Please indicate if part-time Degree Subjects and Professional Qualifications (if applicable) Type and Class Date Applicants invited for interview will be asked to bring with them their certified copies of certificates to confirm the information given above. Other employment, interests and activities: Please list relevant dates. Include here any qualifications not listed in the previous section Reason for Applying Please give your reasons for applying, strengths you feel you have and any further details you wish to add Page 3 of 5
Safeguarding the welfare of children We are committed to safeguarding and promoting the welfare of children and we expect all our staff and volunteers to share this commitment. Employment Equity We are an equal opportunities employer and we do not discriminate against applicants on any grounds. The criteria for selection relate purely to the suitability of an applicant for the job for which they are applying. If short-listed for the position, we will ask you if any special arrangements are needed to assist you during the selection process. During your interview, there will be an opportunity to discuss any reasonable adjustments that would assist you in carrying out the job. Existing contacts within the School Please indicate if you know, or are related to, any existing employees or governors at the school, and if so how you know them. References Names and addresses of three persons to whom reference may be made as to qualifications and character. One must be your current employer or, if you are currently not working, this should be your last employer. Present Employer Name Position School/Company Address Facsimile E Mail Position/Relationship _ Other Other Name Name Status Status School/Company School/Company Address Address Postcode Postcode Telephone Telephone Facsimile Facsimile E Mail E Mail Position/Relationship _ Position/Relationship Page 4 of 5
Present or Last Salary Details To help with the assessment of salary please indicate below your present or last (if now unemployed), gross annual salary, and give details of any allowances above the normal scale salary. Basic Salary Allowances Gross Salary Data Protection: The information you have provided will be handled and processed in accordance with the Access to Information Act No. 2 of 2000. If you are appointed, the information will form part of your personnel record and may be used by the School for business purposes including the prevention and detection of fraud. Declarations: A) Criminal Offences (Please circle appropriate response) The post for which you are applying involves work within an educational establishment and is therefore subject to the provisions of Section 41 of the Sexual Offences and Related Matters Amendment Act 32 of 2007. You are not entitled to withhold information about convictions which under the Act and, in the event of employment, any failure to declare any convictions could result in dismissal or disciplinary action by the school. Have you ever been convicted of a criminal offence, other than minor motoring offences? If the answer is YES, please give details of any conviction for a criminal offence(s) or pending criminal charge(s) on a separate sheet and place in a sealed envelope marked Confidential. Are you on any list or register that would disqualify you from working with children or subject to any sanctions imposed by a regulatory body such as SACE? If the answer is YES, please give full details on a separate sheet and place in a sealed envelope marked Confidential. In the event of an appointment being offered, it may be subject to the School making background checks. By signing this application you confirm that you are willing for background checks to be carried out. Signed Date B) I confirm that all the information on this application form is correct to the best of my knowledge and belief. I understand career verification specialists may be asked to audit this information and my background and have my express permission to do so. There is nothing that I have withheld that might be material to my employment in an independent school where all staff members are expected to be involved with the pastoral care of the pupils. I understand that an appointment is dependent on a satisfactory report following background checks inclusive of the register of sexual offenders, proof of identity and verification of qualifications. I understand that if I have provided any false or misleading information my application may be rejected or I may be summarily dismissed (if appointed) and the matter may be referred to the Police. Signed Date Please return this form to : headmaster@hiltoncollege.com Page 5 of 5