Where did you hear about this role? E.g. Internet search, Word of Mouth/ A friend or family member, ISASA website, Michaelhouse website, LinkedIn, Facebook etc. If by Word of Mouth, please let us know who referred you? *
Your answer
Personal Details
Your Surname: *
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Your First Name(s): *
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Title: *
Choose
Mr
Mrs
Miss
Ms
Dr
Prof
Other
Marital Status: *
Choose
Married
Not Married
Number of dependents under the age of 18 ((please list the name and age of each child)
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Your current residential location? Town/ City & Province *
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Telephone Number (Cellular): *
Your answer
Email Address: *
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Nationality: *
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If other, are you able to supply valid work and residency permits ?
Clear selection
South African ID Number (If applicable):
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Are you an IEB or DOE examiner or marker or have you been one in the past, please provide detail on position and number of years (e.g. IEB Senior Sub-Examiner 2010-2018) *
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Please provide details of any other membership or position currently held on professional bodies or institutions:
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Current Employment
Name of Organisation / School: *
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Current Position *
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Starting date at this organisation: *
MM
/
DD
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YYYY
Starting date in current position (if different):
MM
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DD
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YYYY
Is this a full time or part time position ? *
What notice period are you required to give to your current employer ? *
Your answer
Employment History (Not including current employment, please list in chronological order)
Employer 1 (List in order: name of employer, position held, start date, end date, reason for leaving)
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Employer 2 (List in order: name of employer, position held, start date, end date, reason for leaving)
Your answer
Employer 3 (List in order: name of employer, position held, start date, end date, reason for leaving)
Your answer
Employer 4 (List in order: name of employer, position held, start date, end date, reason for leaving)
Your answer
Employer 5 (List in order: name of employer, position held, start date, end date, reason for leaving)
Your answer
Employer 6 (List in order: name of employer, position held, start date, end date, reason for leaving)
Your answer
Education and Qualifications (shortlisted candidates will be asked to submit copies of qualifications)
Secondary School Attended: *
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Year matriculated: *
Your answer
List Matriculation Subjects and Results: *
Your answer
Highest Qualification (List in order: Degree, institution and date received. e.g. B.Sc (Hons), Stellenbosch University, 1995) *
Your answer
All Other Qualifications (List qualification, institution and date received):
Your answer
List your major subjects studied in all your qualifications (e.g. Mathematics III, History II):
Your answer
Were you awarded any academic recognition for your tertiary studies (e.g. Degree awarded Cum Laude):
Your answer
Provide any details of short courses, training or skills development completed that are relevant to the position you are applying for:
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Are you currently busy with any studies towards a degree, diploma or certificate ? Please provide details.
Your answer
Provide details of your leadership positions and/or achievements at school and university or subsequently:
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Co-Curricular Experience - Cultural (please list: Name of cultural activity, highest level of involvement, school involved at, years of involvement): *
Your answer
Co-Curricular Experience - Sport (please list in order: Name of sport, highest level coached, school coached at, years coached e.g. Waterpolo, 1st team, Michaelhouse, 2011-2018) *
Your answer
Co-Curricular Experience - Outdoor Education (please list any outdoor activities you have been involved with, level of involvement, school involved at, years of involvement): *
Your answer
Have you taught in a boarding school ? *
What is / was your level of involvement in boarding (list in order: Name of school, position occupied, start and end dates of involvement, day house vs boarding house involvement):
Your answer
Name of Faith:
Your answer
Briefly describe your faith philosophy and level of active involvement:
Your answer
Hobbies and Interests
List your hobbies, interests and past times: *
Your answer
References:
Reference 1 (List in order: Name, Position, Employer, Email Address and Telephone Number) *
Your answer
Reference 2 (List in order: Name, Position, Employer, Email Address and Telephone Number) *
Your answer
Reference 3 (List in order: Name, Position, Employer, Email Address and Telephone Number) *
Your answer
May we contact your references without notifying you first ? *
Salary details
Current gross monthly salary:
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Current benefits over and above monthly salary (e.g. 13th cheque, medical aid contribution, pension contribution, housing etc.)
Your answer
Declarations
Have you ever been convicted of a criminal offense or have pending criminal charges against you ? *
If you answered yes, please provide details:
Your answer
To the best of your knowledge are you or have you ever been listed on the national sexual offenders database ? (preferred candidates will be required to provide a valid police clearance) *
Have you ever committed an act or offense that would disqualify you from working with minors ? *
Are you currently, or have you ever been, under any sanction from SACE, the IEB or other examining body ? *
POPIA Privacy Notice & Disclaimer: Michaelhouse is committed to ensuring confidentiality of personal information. By applying for any position and submitting your personal details and CV you acknowledge acceptance of this disclaimer. Your information will be used for the sole purpose of recruitment and any required statutory reporting. All reasonable measures will be taken to protect the information of applicants.
Thank you for your interest in joining the Michaelhouse community. As part of this application you are required to submit a scanned HANDWRITTEN motivation letter and an uptodate, detailed CV to: careers@michaelhouse.org. PLEASE COMPLETE & SUBMIT THIS FORM ONLY ONCE.