BOARD OF EDUCATION ACT - 1994

Application For Employment at the

PHOTOGRAPH
Write your name on
the back of a recent
photograph (passport
size) and staple (not
stick) securely here.
Your application will
be deemed
incomplete if
photograph is omitted

Board of Education

Application Form

Name ______________________

(This form has eight(8) sections (A-H), please fill out each section.)

Each applicant must complete one copy of this form in his or her own hand writing.

Please ensure that the following other documents are submitted with each form.

For official

Use
only

DOCUMENTS:
(i) A recent passport-size photograph, stapled to this form in the space provided.

(ii) Proof of citizenship/nationality

(iii) A certified copy of your birth certificate.

(iv) A certified copy of academic certificate/diploma/ degree.

(v) Testimonials

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 BOARD OF EDUCATION ACT - 1994

(vi) Rationale for applying for the desired post.

A. General Information:
1. Date of Application _______________________

2. a) Name in full (block capitals)

Surname ______________ First name ____________ Middle name _________

b) Sex _____________________

3. Nationality ______________________________________

D/M/Y
4. a) Date & Place of Birth ________________ __________________

b) Age (last Birthday) __________________

5. Address ________________________________________________________________

Home / Work
6. Telephone number _____________________________ Fax number _____________

7. Present Occupation ______________________________________________________

8. Marital Status(single, married or widower) ___________________________________

9. Number of children ___________ Sons Age respectively _______________

__________ Daughters Age respectively _______________

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 BOARD OF EDUCATION ACT - 1994

________________________________________________________________________

_____________________________________________________________

B. Position desired

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

C. Qualifications

14. Schools Attended ________________________________________________________

15. Secondary/High School Exam Board /Subject /Grade /Year

Educational Institution __________________________________________

____________________ __________________________________________

___________________ __________________________________________

__________________________________________

__________________________________________

__________________________________________

__________________________________________

16. Higher Educational Institution Certificate / Diploma /Degree /Year

__________________________ __________________________________________

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 BOARD OF EDUCATION ACT - 1994
__________________________ __________________________________________

17. Professional Training & Experience(on the job or otherwise)

________________________________________________________________________

________________________________________________________________________

_____________________________________________________________

18. Other(e.g. typing/computer knowledge)

__________________________ __________________________________________

__________________________ __________________________________________

D. Career History (including present position and present salary)

________________________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

E. Civic Responsibilities (positions held)

________________________________________________________________________

_____________________________________________________________

_____________________________________________________________

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 BOARD OF EDUCATION ACT - 1994

F. Interests and Hobbies

________________________________________________________________________

_____________________________________________________________

_____________________________________________________________

G. References
1. Name Occupation Address Period

_______________ ________________ __________________________ ______

_______________ ________________ __________________________ ______

2. Name Occupation Address Period

_______________ ________________ __________________________ ______

_______________ ________________ __________________________ ______

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 BOARD OF EDUCATION ACT - 1994

H. DECLARATION BY APPLICANT
I declare that the statements in this application form are to the best of my knowledge, true, complete and
correct.

_______________________________________
Signature of Applicant:

___________________
Date of Application

Please send this form with supporting documents to:

Human Resource Manager

Board of Education
P.O. Box 3152
St. John’s
Antigua W.I.

Telephone # 463-9026/7
Fax # 462-9226
This Space For Official Use Only

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 BOARD OF EDUCATION ACT - 1994

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