Job Applications

Personal Details

Are you legally entitled to work in New Zealand Yes No

Type of position you are interested in

Indicate position your interested in. Administration Area Teacher/Teacher Aide Special Character Teacher Senior Leadership - Assistant/Deputy Principal

Teaching Details

Education and Qualifications (Past and Current)

Please attach copies of official transcripts

Relevant Professional Development

Current Employment

Date Started

Attached Documents

Employment History

Date Started

Date Ended

Attach Documents

Date Started

Date Ended

Attach Documents

Date Started

Date Ended

Attached Documents

Professional Associations

Medical Health

Do you have any injury, illness or condition that may affect your ability to effectively carry out the duties and responsibilities of the position? Yes No

Convictions

Have you ever been convicted of any criminal offence (other than a minor traffic offence)? Yes No

Criminal Record Copy

Are you currently awaiting the hearing of any charges? Yes No

Have you been, or are you currently under investigation from any authority such as the Teachers Council, Health and Disability Authority, Privacy Commission etc? Yes No

Note: The school may seek a police clearance from all short-listed applicants or preferred applicants, prior to confirmation of appointment.

Referee Information

Please provide referee information below. At least three of your referees must be known to you in a work- related capacity. Up to three referees may be contacted prior to short listing. Please note that the Appointment Committee may wish to contact other people who are not on this list – please see the disclaimer.

Referee 1

Referee 2

Referee 3

Referee 4

Declaration and Authorization

Permissions

Declaration I declare that the information supplied by me is given voluntarily and is true, accurate and complete in all respects.

Acknowledgement I acknowledge that I will not hold Iqra School responsible for any omission or mis-statements that I have made in the information provided.

Understand I understand that all information provided about me to you, including my application form, resume, references, and any assessments will be held by Iqra School to be used for the purpose of evaluating my qualifications, experience and suitability for employment as Principal of Iqra School.

Understand 2 I understand that if I withhold relevant information or supply false or misleading information about myself, my application may not be further considered. I also understand that my employment may be terminated if, after investigation, my employer discovers that any information which I have provided is false or misleading.

Understand 3 I understand that I am entitled to have access to relevant information retained by Iqra School (except for any exemption provided under the Privacy Act 1993 such as evaluative material) and to request correction of the information and/or request that there be attached to the information a statement relating to the fact that I have requested a correction.

Consent I consent to the Presiding Member, Principal, and/or Appointment Committee personnel making such enquiries with such organizations including but not limited to inquiries with all former employers, Teacher Registration Board, and such other bodies or organizations which might hold information relevant to my employment, my suitability to manage and any other information that my prospective employer deems necessary to obtain.