APPLICATION FORM

Candidate Name: Please send your Letter of Application and completed

Lama Dabaja Recruitment Form by email to:
[email protected]
Position applied for

Secondary School Science Teacherr

Where did you first hear about this vacancy?

School Website

PERSONAL DETAILS
Section 1
SURNAME (as shown on passport)
Dabaja

TITLE (as shown on passport)

Mrs

FIRST NAME(S) (as shown on passport)

Lama

PREVIOUSLY USED SURNAME & FIRST NAME

NATIONALITY DO YOU HAVE THE RIGHT TO WORK IN THE EU?

Lebanese (Please specify e.g. EU Passport holder*)

Yes

No

*Since Brexit, British Passport holders do not automatically have the

right to work in the EU
DATE OF BIRTH PLACE OF BIRTH

RELIGIOUS DENOMINATION (optional) ETHNIC ORIGIN (optional)

HOME ADDRESS Email Address

 Telephone Number

ADDRESS FOR CORRESPONDENCE RESIDENTIAL ADDRESSES FOR THE LAST FIVE

(if different from above)* YEARS

* If alternative is temporary, please indicate relevant dates

ALTERNATIVE TELEPHONE NUMBERS * ARE YOU RELATED TO OR DO YOU MAINTAIN

A CLOSE RELATIONSHIP WITH AN EXISTING
EMPLOYEE, VOLUNTEER OR GOVERNOR OF
THE SCHOOL? (If so, please provide details.)

Yes

* If alternative is temporary, please indicate relevant dates No

EDUCATION
Section 2
SECONDARY FULL TIME / PART TIME FROM TO
(Please specify the name and address of the Institution and (Please specify) (MM/YY) (MM/YY)
the Level and Title of your Qualification)

UNIVERSITY / HIGHER EDUCATION FULL TIME / PART TIME FROM TO

(Please specify the name and address of the Institution and (Please specify) (MM/YY) (MM/YY)
the Level and Title of your Qualification)

QUALIFICATIONS
Section 3
IB Diploma, High School Diploma, A Level or Equivalent; Certificate/Diploma in Education/Degree(s); Degree Level
or Advanced Qualification. Teachers should indicate whether they have Qualified Teacher status.

QUALIFICATION EXAMINING BODY SUBJECT(S) PASS LEVEL PASS DATE

Page 2 of 7
AWARDS/DISTINCTIONS/PUBLICATIONS

OTHER VOCATIONAL QUALIFICATIONS, SKILLS OR TRAINING. Please provide details of any vocational
qualifications or skills that you possess or training that you have received which you consider to be relevant to the
role for which you have applied.

EMPLOYMENT DETAILS
Section 4
Current/most recent employer: Current/most recent employer’s address:

Current/most recent job title: Date started:

Brief description of responsibilities: Date employment ended (if

applicable):

Current salary/salary Do you/did you receive any employee benefits? If so, please provide details of these.
on leaving:

Reason for seeking other employment:

Page 3 of 7
Please state when you would be available to take up employment if offered:

PREVIOUS EMPLOYMENT AND/OR ACTIVITIES SINCE LEAVING FULL TIME EDUCATION

In chronological order (most recent position first).
Any gaps in continuous employment should be included and explained.

EMPLOYER POSITION Full or FROM TO

(Name and Address, type of business and HELD Part Time (MM/YY) (MM/YY)
reason for leaving)

OTHER DETAILS INCLUDING PERSONAL INTERESTS/HOBBIES. Please give details of any interests,
hobbies or skills that you could bring to the School for the purposes of extra-curricular activity.

REFERENCES
Section 5
Please supply the names and contact details of two persons who we may contact for references. One of these must
be your current or most recent employer. If your current/most recent employment does/did not involve work with
children, then, if applicable, your second referee should be from your employer with whom you most recently
worked with children. Referees should be persons to whom you have directly reported and to whom reference may
be made in confidence. Neither referee should be a relative or someone known to you primarily as a friend. Please
state in which context you are known to the referee, e.g. ‘My former Head Teacher’.
A NAME
ORGANISATION & OCCUPATION

ADDRESS

TELEPHONE

EMAIL ADDRESS

Page 4 of 7
CONTEXT/RELATIONSHIP TO YOU

MAY WE CONTACT YOUR REFEREE NOW?

Yes No

B NAME

ORGANISATION & OCCUPATION

ADDRESS

TELEPHONE

EMAIL ADDRESS

CONTEXT/RELATIONSHIP TO YOU

MAY WE CONTACT YOUR REFEREE NOW?

Yes No

C NAMES OF REFEREES FOR ALL OTHER EMPLOYMENT WHERE WORKING WITH CHILDREN

SUITABILITY FOR THE POSITION APPLIED FOR

Section 6
Please give your reasons for applying for this post and say why you believe you are suitable for the position. After
reviewing the job description and person specification, please describe any experience and skills you have gained in
other jobs or similar environments which demonstrate your ability and aptitude to undertake the duties of the post.

Page 5 of 7
Given your understanding of the school, please describe how you might make a contribution to Marymount
International School.

If any, what skills required for this position do you feel you need to develop further? How would you address these?

CRIMINAL RECORDS
Section 7

An offer of employment is conditional upon the School receiving a satisfactory Police Disclosure.
Have you been convicted by the courts of any criminal offence? Yes No

Is there any relevant court action pending against you? Yes No

Have you ever received a caution, reprimand or warning from the police? Yes No

If ‘YES’ to any of the above, please provide details on a separate sheet and send this in a sealed envelope marked
“confidential” with your Application Form.

RECRUITMENT INFORMATION
Section 8
It is the School’s policy to employ the best qualified personnel and to provide equal opportunity for the
advancement of employees including promotion and training and not to discriminate against any person because of
their race, colour, nationality, ethnic or national origin, sex, sexual orientation, marital or civil partnership status,
Page 6 of 7
religion or religious belief, disability, age or, with regard to the Catholic identity of the School, religion or religious
belief.
All new posts within the School are subject to a probationary period.
The School is committed to safeguarding and promoting the welfare of children and young people and expects all
staff and volunteers to share this commitment.
If your application is successful, the School will retain the information provided in this form (together with any
attachments) on your personnel file. If your application is unsuccessful, all documentation relating to your
application will normally be confidentially destroyed after six months.

DECLARATION
Section 9

● I confirm that the information I have given on this Application Form is true and correct to the best of my
knowledge.

● I understand that providing false information is an offence which could result in my application being
rejected or (if the false information comes to light after my appointment) summary dismissal and may
amount to a criminal offence.

● I consent to the School processing the information given on this form, including any 'sensitive'
information, as may be necessary during the recruitment and selection process.

Signature: Date:

Page 7 of 7