Staff Application Form

Name:

Date of Birth:

Sex:

Nationality:

Address (permanent):

Telephone no:

Email Address:

Address (present):

Passport Number:

Place and Date of Issue:

Expiry Date:

Position applying for:

How long do you envisage spending at Chengelo:

Marital Status:

Name of Spouse:

Occupation of Spouse:

Children:

Name:

Age:

Your height:

Your Weight:

Your Health:

Do you have any chronic ailments:

Do you have any physical disabilities:

When did you last have a physical checkup:

Are you presently receiving treatment for any illness:

If any answers above are yes please give details:

Secondary Education:

Name of School:	Subjects Studied:	Achievements:

Tertiary Education:

Name of Institution:	Dates Attended:	Achievements and Qualifications

Employment Record:

Name of Organization:	Dates Employed:	Brief Job Description:

Experience of Voluntary Work, Overseas Travel (brief description):

What languages can you speak? (indicate fluency)

Do you have a drivers licence?

What type of drivers licence?

State any other relevant skills:

What magazines and newspapers do you read regularly?

hobbies / interests do you have?

Describe your experiences with children/youth other than in the classroom:

With what age group do you prefer working?

Comment on your attitude towards discipline with student. How do you discipline children? What is your philosophy on child discipline?

Please give a brief statement describing your conversion, Christian experience and growth.

Please comment on influences in your life that have led you to apply for a position at Chengelo?

Comment on experiences you have had in encouraging others to place their faith in Jesus Christ

What contact do you have with people of other faiths and cultures:

Do you regularly attend a Church/Fellowship meeting?

Name the Church:

Its denomination:

Did you discuss your wish to work overseas with your family?

Your Friends?

Your Minister?

How have they reacted? (please explain)

Do you see as the main problems for you in your wish to work at Chengelo?

Please give names, addresses and telephone numbers of two persons to whom we may write for evaluations. The first should be someone who knows you professionally. The second, someone who knows you spiritually (e.g. your pastor, minister or church elder).

Name:		Name:
Address:		Address:
Telephone number:		Telephone number:
Email address:		Email address:

Former Students

Staff Application Form