Post Applied for (required)
Reference Number (required)
Last Name (required)
First Name (required)
Telephone Number (required)
Are you eligible to work in Zambia
Do you require a work permit to work in Zambia?
Date of birth
Starting with your most recent job, paid and/or unpaid, please list employment providing all of the details requested. It is important that you include periods of unemployment; and if you have been self-employed you will need to provide proof. If you are short-listed we will obtain references, which may cover a full three-year history, this could include time spent in education. In addition to information on ability and performance we will be seeking information on:
Name of Current/Last Employer
Employer's telephone number
Leaving date or notice period
Reason for leaving
Brief description of responsibilities
Previous Employer's/Organisation's Name
Please provide details of any gaps of employment history with date Please tell us in the last 2 years you have been on a long absence from your employer
Number of occasions
Please give the details of two referees. One of these should be your Line manager with your present and/or last employer. Please see guidance notes for more information
Your relationship to the referee
Please provide details of any professional qualifications & membership of professional institutes that you hold
Name of Professional Body 1
Membership grade and number
Name of Professional Body 2
Name of Professional Body 3
Additional Information - Please use this space to tell us how you meet each of the points on the person specification. Please attach additional information if you require more space.
Are you related to, or have a close personal relationship with a member of staff at LICS?
Your Gender (required)
What is your ethnic group?
Do you consider that you have a disability meaning long term illness, health problem or disability that limits your daily activities or the work you can do
Where did you see this post advertised?
Have you ever been cautioned or convicted of a criminal offence?
Have you ever been disqualified from working with children or vulnerable adults?
If you fail to disclose any criminal convictions or cautions, it could result in withdrawal of the job offer, dismissal or disciplinary action by the school
By checking this box I certify that, to the best of my knowledge, the information on this form is true and accurate. I understand that if the information I have supplied is false or misleading in any way, it will automatically disqualify me from appointment or may after appointment lead to disciplinary action, which could lead to my dismissal without notice.
Your full name (required)
Supporting documents (required)
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