CHENGELO SCHOOL

GRADUATE TRAINING PROGRAMME APPLICATION FORM

PLEASE COMPLETE THIS FORM AS FULLY AS POSSIBLE

  1. PERSONAL DETAILS

Name:______

Date Of Birth:______

Sex:______

Permanent Address:______

______

Telephone Number:______

Email address: ______

Present Address:______

______

Nationality:______

Do you require any permit? ______if yes, state the type of permit______

Passport/NRC No.______, Place of issue:______,Date of issue______

Marital status: ______

For married applicants -

Spouse Name:______

Spouse occupation: ______

List Children:
Name:______Age: ______

Name:______Age: ______

Name:______Age: ______

Your height: ______Your weight: ____When did you last have a physical check - up? _____

  1. EDUCATIONAL RECORDS

Secondary Education: (indicate any particular achievements, e.g. distinction)

Name of School / Subjects studied / Level

Formal Education: Tertiary Training and Qualification

Name of Institution / From
(Month/Year) / To
(Month/Year) / Qualification obtained – please attach transcript
  1. EMPLOYMENT RECORD INCLUDING VACATION/VOLUNTARY WORK

Employer/Organisation:

Position:

Dates (Month/Year):FromTo

Brief Job description:______

______

Employer/Organisation:

Position:

Dates (Month/Year):FromTo

Brief Job description:______

______

What languages can you speak? (indicate fluency)

Do you have a driver’s licence?Type

State any other relevant skills:

What magazines and newspapers do you read regularly?

IT Knowledge: Please indicate your proficiency level on a 1 – 5 scale, 5 being excellent:
Word_____ Excel______Power Point______Others (specify)______

Please mention any major social, leisure and sporting activities and achievements including positions of responsibility.

At School:______

______

______

______

At University______

______

______

______

How did you first hear about the Graduate Training Programme?______

______

______

Why are you interested in the Chengelo GTP programme?______

______

______

______

______

Have you ever been convicted of a crime?

If yes, explain number of conviction(s), nature of offence(s) leading to conviction(s), how recently such offence(s) was/were committed, sentence(s) imposed.

  1. EXPERIENCE WITH CHILDREN

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

With what age group do you prefer working?

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

  1. CHRISTIAN BACKGROUND (Please answer this section fully)

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 GTP 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?

Name the Church:

Its denomination:

Have you discussed your wish to be on Chengelo School’s GTP programmewith:

Your family?

Your friends?

Your minister?

How have they reacted? (please explain)

What do you see as the main problems for you in your wish to be on Chengelo School’s GTP programme?

  1. REFEREES

Attach to this application, copies of any testimonials or letters of reference you may have from previous employers or university, certified copies of all qualifications. In addition, please give names, addresses and telephone numbers of two people to whom we may write for evaluation.

The first should be someone who knows you professionally or academically.

Name:______

Address:______

Telephone Number:______

The second, someone who knows you spiritually (e.g your Pastor, Minister or Church elder).

Name:______

Address:______

Telephone Number:______

Please read carefully

I certify that I have not purposely withheld any information that might adversely affect my chances for participating on the Graduate Trainee Programme at Chengelo School. I attest to the fact that the answers given by me are true and correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure can be grounds for rejection of my application or, if I am engaged by Chengelo School, terms for my immediate dismissal from the School.

I permit the School to examine my references, records of employment, education record, and any other information I have provided. I authorize the references I have listed to disclose any information related to my work and academic records, spiritual life and my professional/academic experiences with them, without giving me prior notice of such disclosure. In addition, I release Chengelo School, my former employers and all other persons from any and all claims, demands or liabilities arising out of or any way related to such examination or revelation.

Applicants signature:______

Date:______

  1. SEND YOUR APPLICATION

Once you have completed this application form please save it, and email it as an attachment to the School, along with a recent photo of yourself. If you prefer, you can print it out and send a paper copy to the School but be aware that this may take considerably longer.

Chengelo Schoolemail:

Phone:+260215 352258 / +260979999992

P/Bag 16

Mkushi

Zambia

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