Application for Employment as Part-Time Lecturer

Field(s) Applied For (as per advert)

Personal Information

Title: * Surname:* First Name: * Maiden Name: Date of Birth (dd/MM/yyyy): * Gender: * MaleFemale National ID No: * Bank Name and Account Number:

Residential Address*

Contact Details

Home: Mobile:* Office: Email Address:*

Education and Qualification

At least one is required

From	To	School/College	Qualification and Grades Obtained

University / Further Education

At least one is required

From	To	University	Qualification and Grades Obtained

Professional Qualifications and Other Training*

Professional Body and Membership Status (by examination and date obtained):

Details of courses and dates: *

Employment History

Provide details of posts held, names and addresses of employers, and particulars of your employment. (Start with your present post)

At least one is required

From	To	Employer's Name and Address	Post Held and Duties Performed	Teaching Experience (if any)

Special Personal Attainments/Abilities and Personal Statement*

Why do your qualifications, experiences, and personal qualities make you a suitable candidate for the position?

Legal Declaration*

Have you ever been prosecuted and found guilty in court? YesNo

If yes, provide details (court, charge, date, sentence):

Referees

Referee 1*

Name: Occupation: Address: Contact/Phone No:

Referee 2*

Name: Occupation: Address: Contact/Phone No:

Declaration*

I, , declare that the particulars in this application are true and accurate and that I have not willfully suppressed or withheld any material fact.

Date:

Additional Features*

Upload Documentary Evidence:

NIVERSITY

ECHNOLOGY

AURITIUS

PROSPECTIVE STUDENT

EXISTING STUDENT

ALUMNI

Application for Employment as Part-Time Lecturer