Brummana High School
Please attach
Confidential Staff Application Form recent
passport
You can download this Word document to your computer, complete it, save it, and email photo
it to [email protected] Please complete all sections of this form in English.
Personal Details
Family name: First name:
Date of birth (dd/mm/yy): / / Age: Gender: Male Female
Place of birth: Nationality/ies:
Marital status: Single Married Widowed If you are a married female, please give family name before
Separated Divorced marriage:
Address Telephones/Email
Building: Telephone home:
Street: Telephone cellular:
Town/city:
Email:
Country:
Children or other dependants Health
Names Relationship to you Year of birth Do have any health concerns which the school should take into
account? Please give details of any physical or psychological
illness which led to you being away from work for more than 3
weeks during the past 5 years.
Does a relative (one of your family) work at BHS? Yes No If yes, give name:
Position Applied For Full-time: Part-time:
Teaching position Are you interested in giving after-school or extra-
Subject Teacher - please specify subjects: curricular activities?
Please specify activities:
Are you interested in working in the Summer Camp?
Homeroom Teacher in Infant Section or Lower Please specify activities:
Elementary (teaching English + Maths + Science)
Teaching Assistant in Infant Section/Lower
Elementary
Are you interested in working in Boarding?
Summer Educational Programme Houseparent (married couple living in)
Boarding Assistant (overnight or weekend shifts)
Other academic positions, please specify: Master on Duty (afternoon shifts)
Non-teaching position
Please specify:
Age group you want to teach
Infant Section( 3-6 years - KG 1- 3)
Lower Elementary (7-9 years - Grades 1-3)
Upper Elementary (10-12 years - Grades 4-6)
Intermediate Section (13-15 years - Grades 7-9)
Secondary Section (16-18 years - Grades 10-12)
1
Secondary and Further/Higher Education
Name & address of From To Subject/area of study
school/college/university Exam/qualification/degree awarded
Present Employment
Subject/grade taught/position Name and address of school/employer From Monthly pay
Previous Employment
Please give details of all employment since school, the most recent first.
Subject/grade taught/position Name and address of school/employer From To
Languages
2
Please indicate your languages skills by checking the appropriate boxes. N.B. “Excellent” means you can teach and write
reports in that language.
Spoken Written
Language Poor Fair Good Excellent Poor Fair Good Excellent
English
Arabic
French
Computer Skills
Which software do you use regularly? Computer courses attended Dates
Professional Training & Development
Please give details of any relevant training you have undertaken in the past three years.
Description Dates
Interests and Activities
3
Please give details of interests, hobbies, and activities in which you are involved. For example: sports, games, community
service, clubs, music, writing, drama, dance, art, environmental activities, etc. Mention any trophies or awards you have won
and any papers or projects you have written. What books have you read recently?
Professional References
Please give the names of 3 independent referees who know you in a professional capacity (not family), including your present
Principal/employer. May we contact your referees now? Yes No
Name: Position:
Organisation & address:
Telephone: Email:
Name: Position:
Organisation & address:
Telephone: Email:
Name: Position:
Organisation & address:
Telephone: Email:
What are your salary expectations?
If successful, when would you be able to start?
If you are applying for a specific vacancy, how did you hear about it?
I verify that the statements I have made in this application are true and complete. I understand that if I am hired, any false or
incomplete statements will be grounds for immediate dismissal.
Signature: Date:
Please check that you have completed all sections of this form in English and email it together with a CV and a letter
of application in English addressed to the Principal to [email protected]. Applicants for teaching positions where the
language of instruction is not English should also submit a separate covering letter (lettre de motivation) in Arabic or
French or both as appropriate.
