For Office Use
1. General Information
Name of School:
Sector: / Church / Independent / International
KINDLY TICK (√) AS APPROPRIATE
Name of Candidate: / (Maiden Surname where applicable)
FULL NAME AND SURNAME IN CAPS
Identity Card Number: / Date of Birth:
DDMMYY
Teacher’s Warrant Number: / Permanent / Temporary
(where applicable) / TICK (√) AS APPROPRIATE
Work Permit Number: / All fields must be complete unless stated otherwise.
(where applicable)
Candidate’s Contact Details: / Postal Address:
Email Address:
Telephone:
Mobile Tel.:
2. Post Being Filled by Candidate
Role:
Type of Contract: / Full Time (FT): / Part Time (PT): / If PT - Number of hours: / hours.
KINDLY TICK (√) AND FILL AS APPROPRIATE
Indefinite Contract: / Definite Contract: / From: / To:
DD/MM/YY DD/MM/YY
If Replacing: / Name of Outgoing Member: / ID Number:
Reason for Replacement:
Cycle: / Pre-Primary / Primary / Secondary / Post-Secondary
TICK (√) AS APPROPRIATE
For Supply/Graduate/Teachers or Kindergarten Assistants Only:(As Applicable)
Year Group/s / Specialisation/s
(Main &Subsidiary Subject)
For Supply/Learning Support Assistants Only:
Name of Student/s with a Statement of Needs / CS/GCS/PRV/STM Number / Type of Support / Year / Class
3. Qualifications(to include Under/Post Graduate Qualifications; ‘A’ Levels; ‘Intermediate’ Levels; ‘O’ Levels)
Type of Qualification / Awarding Body / Year Awarded / MQF Level
4. Previous Experience in School/s (if any & not to include Teaching Practice)
School / Role / Date From
DD/MM/YY / Date To
DD/MM/YY
5. Additional Comments by Head of School (if any)
This Application is to be supported by the Full Documentation as specified in the checklist below:
All documentation needs to be certified as True Copies of Original by Head of School
Documentation Required For Staff
(Definite, Indefinite, Full or Part Time Contracts)
Kindly Tick (√) to Indicate Submission of Respective Document/s / Additional Documentation for Educators
As Applicable
(Definite, Indefinite, Full or Part Time Contracts)
(Head/Assistant Head of School, Supply/Graduate/Teacher,
Supply/Kindergarten Assistant, Supply/Learning Support Assistant,
Other Professionals)
Kindly Tick (√) to Indicate Submission of Respective Document/s
Valid & Recent Call for Applications/Advert – / Temporary Teacher’s Warrant or Teacher’s Warrant
Required for Reimbursement of Salary when Applicable / or Duly Compiled Application for Warrant
Relevant Qualifications as per Established Eligibility / Student’/s’ Statement of Needs (in case of S/LSA)
To include Transcript
MQRIC/NCFHE Recognition - Foreign Qualifications / SEN Schedule/Classification (in case of S/LSA)
Valid Employment Licence of Non-EU Candidates / Religion Teachers’ Idoneity by Curia
Valid Police Conduct Certificate / Applications cannot be processed and will be deemed as void if incomplete or inaccurate information is supplied to the AU.
Declaration by Head of School upon consultation of
Fedina Penali - in case of Police Conduct Forms ‘B’ & ‘C’
Verification of School’s Adherence to POMA
-Protection of Minors Act
I, the undersigned, confirm that the necessary procedures have been followed and the data in this notification is comprehensive and accurate.
Name of Head in Full
Head of School’s Signature / Date / School Rubber Stamp
For Office Use by AU (DQSE) Only TICK (√) AS APPROPRIATEAdditional Remarks:
Acknowledgement of adherence to NMC & Education Act
Not in adherence to NMC & Education Act
Approval for reimbursement of salary by the State
Salary to be borne by the School
Additional Remarks:
Name of AU Official in full: / Date / Signature of AU Official
Data Protection: The Accreditation Unit collects and processes information to carry out its functions under the Education Act. All data is collected and processed in accordance to the Data Protection Act 2001, other subsidiary legislation and the Privacy Policy of the Department, a copy of which is available on demand.
Notification of Employment by Non State SchoolsPage 1 of 3AU (DQSE) Ministry for Education and Employment