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Embed code for: Whitiora School
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38 Willoughby Street Phone 07-839-5579
Hamilton 3200 New Zealand e-mail: email@example.com
APPLICATION FOR APPOINTMENT
Details provided in this application form will be used to carry out a Safety Check
in accordance with the requirements of the Vulnerable Children’s Act 2014
Position Applied For
Scale A Teacher 0.6 FTTE part-time, fixed term, 0.4FTTE ESOL and 0.2 reading recovery release
Jacqueline Maari Lawrence
Date of Birth
11 October 1972
5 Hazelwood Ave, Dinsdale Hamilton
Two forms of identification (at least one ID with a photo) must be provided
(please attach certified copies)
one form must be from Category A, and
one form must be from Category B
Please tick [✓] the Form provided
[ X] New Zealand Passport
[ X ] New Zealand Driver’s Licence
[ ] A New Zealand Certificate of Identity issued under the Passports Act 1992 to Non-New Zealand citizens who cannot obtain a passport from their country of origin
[ ] 18+ Card (must be current)
[ ] New Zealand certificate of Identity (issued to people who have refugee status)
[ ] Community Services Card
[ ] New Zealand Refugee Travel Document
[ ] Super Gold Card
[ ] Emergency Travel Document
[ ] Veteran Super Gold Card
[ ] New Zealand Firearms License
[ ] Inland Revenue Number
[ ] Overseas Passport (with New Zealand Immigration Visa/Permit)
[ ] Electoral Roll Records
[ ] New Zealand Full Birth Certificate
[ ] New Zealand issued utility bill, issued not more than 6 months earlier.
[ ] New Zealand Citizenship Certificate
Category A details
LH478339 Expiry Date 01 May 2019
Category B details
NZ Drivers Licence
BW402228 Expiry Date 21-01-2024
Qualifications (please attach certified photocopies)
Reg. No.: 318364
Issued by: University/Tertiary Organisation
Diploma of Teaching
Te Wananga Takiura o Nga Kura Kaupapa Maori o Aotearoa
Bachelor of Teaching
Current Employment Full time Carer
School (or other):
Please Provide … your Full Work History for the past Five Years … and contact details for all
Scale A Teacher
Street Address , City
Ph: 0X XXX XXXX
Finlayson Park School,
85 John Walker Drive
261 Clarkin Road
If necessary additional line should be added to create a complete list
Please provide details of three referees (not related to you or part of your extended family) who can be contacted to provide references
Principal (Finlayson Park School)
Indra Thomas (Finlayson Park School)
Shay Grant (Fairfield Intermediate)
Please provide a written paragraph response to the following: -
Give a brief description of your current teaching of students of ESOL background and explain how you have made an impact on their learning.
Before relocating to Hamilton, I spent 8 years at Finlayson Park School. This school provided a strong foundation of diverse cultures and a strong bi-lingual phylosiphy. We also provided an English learning programme for speakers of other languages. Ie, Maori, Tongan and Samoan units. Although, my strengths are working with maori I believe that I have the experience, skills and knoweldge to assist our learners, to become the best that they can be. We are professional practitioners, it is our job to raise student achievement. I’d like to think that all I do, will always make an impact on students learning.
2) Describe a situation when you have collaborated with colleagues, the benefits that resulted for students, and what evidence verified this benefit.
Response …Whanau Night
A cultural evening of dance and song, where students were able to perform in front of an audience and share their knowledge and understanding of there country with their families and the wider school. Proud parents and confident students was the final outcome. Very successful evening, teachers, students and parents.
3) Describe your experience in an Innovative Learning Environment (ILE) environment and how this has changed your teaching, or alternatively if you have not had ILE experience describe how you see yourself contributing to an ILE.
Response …I have not experienced being in a ILE enviroment. I’d love to contribute maori waiata, maori songs, tikanga maori (if needed) I enjoy literacy and I’m keen to share the strategies learnt over the years with these learners and collegues. Find the gaps in there learning and provide challenging yet achievable activities that will help to move them forward and beyond.
Declaration (please read the following statement and sign below if in agreement)
In accordance with the Privacy Act 1993, I _______________________________________________
give consent for the Board of Trustees or their representatives to make enquiries of the referees listed in the application and give consent to the referees to make such information available. Furthermore, I give consent for the Board of Trustees or their representatives to make enquiries of past or present employers, colleagues, NZTC or equivalent overseas professional body or any other person who may be in a position to assist the Board in determining my suitability in terms of filling a vacancy. I give consent to those people providing such information.
Signed: …………………………………………. Date: …… /…… / ……………..
HAVE YOU EVER BEEN CONVICTED OF ANY OFFENCE AGAINST THE LAW?
(Apart from minor traffic offences) (please indicate)
If ‘YES’ enclose a certified copy of the entry in the Criminal Record Book relating to the conviction(s), obtained from the Registrar of the Court concerned. The copy should be accompanied by any comments you wish to make regard the offence (please give full details).
I certify that the information given in this application is, to the best of my knowledge, correct and I understand that this may be verified.
Applicant’s Signature: ………………………………………… Date:… /…… / ………...
To Complete Your Application
Please submit scanned pdf copies to the Principal by the due closing date and time:
Curriculum Vitae (CV)
A completed signed Application Form
Certified copies of your: - Identification Category A and Category B
- Practicing Certificate
(originals to be provided by shortlisted applicants at interview)
A completed signed hardcopy of the Application Form must also be sent to:
Before relocating to Hamilton, I spent 8 years at Finlayson Park School. This school provided a strong foundation of diverse cultures and a strong bi-lingual phylosiphy. We also provided an English learning programme for speakers of other languages. Ie, Maori, Tongan and Samoan units. Although, my strengths are working