zilongwang/ReadingBank huggingface dataset:
POST: Seasonal Assistant Lock Keeper LOCATION: North Shannon REF: ALKNS/001055/ JOB APPLICATION FORM Please complete this accurately, giving as many details as possible of your skills and experience as they relate to the job description. Short listing will be based on the information gathered from the application form read in conjunction with the Essential and Desirable Criteria and Job Description. Please ensure that submitted application forms are clear and legible. Please return completed form by email to: or by post marked Human Resources Section, Waterways Ireland, 2 Sligo Road, Enniskillen, Co Fermanagh, BT74 7JY Completed applications must be received no than 4.00pm on 28th February 2018. Alternatively completed applications may be returned via email to and must be received no later than 4.00pm on 28th February 2018. Please include the job title and reference number in email subject line and do not send an additional hard copy by post if sending by email. Please note that application will not be accepted after this closing date. APPLICANT DETAILS TITLE SURNAME FORENAME (S) DATE OF BIRTH ADDRESS POST CODE CONTACT DETAILS Home Telephone: Work Telephone: Mobile: E mail : Please note a current address must be provided. All correspondence relating to this recruitment process will be sent to this email address.
1. Applicant Details 1.1 Name of Applicant: This section should specify the legal name of the undertaking as defined in the Memorandum of Articles. In the case of Partnerships and Co-operatives the name outlined in the deed of partnership should be used in this section. In the case of Sole Traders, the name of the sole trader shall be inserted. 1.2 Address of Applicant: This section should specify the Ta’ Qali address of the Applicant. The address inserted here will be used to address any mail correspondence to the Applicant. 1.3 Applicant’s Telephone Number/s: The Applicant’s general telephone number/s. 1.4 Applicant’s e-mail: The Applicant’s general e-mail address. 1.5 Website (URL): The Applicant’s website address. 1.6 VAT Number: The Applicant’s VAT Number, as per VAT Certificate, relating to the activities funded under the proposed project. 1.7 Legal Form of Undertaking: The applicant is requested to list down the legal form (or envisaged legal form) of the undertaking. 1.8 Registration / Identification Number: The registration number is the official registration number of the co-operative, company or partnership as defined in the Companies Act – Chapter 387 of the Laws
Pittville School Application Form Please complete in full. Incomplete forms and CVs will not be accepted. Position applied for: Date: Where did you hear about the job? Pittville Website E-Teach TES online TES newspaper Gloucestershire County Council Website Other Section 1 – Personal Details Dr/ Mr/ Mrs/ Miss/ Ms Forename: Surname: Current Address: Former Names: National insurance Number: Are you eligible for employment in the UK? Yes/No If no, please give details: Postcode: Date of Birth: Contact Telephone Numbers: Home: For teaching posts only Teacher’s DfE number: Do you have Qualified Teacher Status? Yes/No What subjects are you qualified to teach? Work: Mobile: Email Address: For office use only Date received Application Number References requested? Ref 1 Y/N Ref 2 Y/N Initials Initials Initials Section 2 – Education Please start with the most recent Name of school/ college/ university Dates of attendance Examinations Subject Result Date Awarding Body
Working in partnership - evidence of building successful partnerships both within the organisation and beyond. Demonstrate how such collaboration has led to improvements across areas, for example in continuous improvement, governance, project management and financial efficiency. Managing resources and risks - evidence of successful deployment of human, physical and financial resources across a school. Provide evidence of how the applicant has systematically held themselves and others with delegated authority to account for the efficient and effective management of resources. Increasing capability - evidence of analysing a school’s capability to meet both current and impending needs in the light of a changing environment. Evidence plans to address changing needs in staffing and other resources. Demonstrate how the applicant has worked with other senior leaders in deploying staff effectively and provided professional development to address necessary change or resistance to it. The 7 leadership behaviours of “the best leaders”: Commitment - committed to their pupils and understand the power of world-class teaching to improve social mobility, wellbeing and productivity Collaboration - readily engage with, and invest responsibility in, those who are best placed to improve outcomes Personal - self-motivated and take a creative, problem-solving approach to new challenge Resilience - remain courageous and positive in challenging, adverse or uncertain circumstances Awareness - know themselves and their teams, continually reflect on their own and others’ practices, and understand how best to approach difficult or sensitive issues Integrity - act with honesty, transparency and always in the interests of the school and its pupils Respect - respect the rights, views, beliefs and faiths of pupils, colleagues and stakeholders The tangible positive impact of a selection of the applicant’s work as a senior leader, in terms of meeting the organisation’s goals and improving outcomes for pupils. Although the statements need to reflect the applicant’s readiness; addressing the criteria above, there is no expected format for the statement. Bullet points and phrases that explain and exemplify succinctly, can be as effective as sustained prose for this purpose. Further information is provided in the separate guidance booklet. Please note that the application will not be considered without this form being fully completed by both the applicant and the sponsor. Please return this form to LLSE – Professional Information Title: Name: Previous surname: Current job role/position: Teacher Reference Number (TRN): Work email address: Work telephone number:
Name: Position: In what capacity do you know the referee? Name of Organisation: Address: Telephone number: Email address: May be contacted prior to interview if you are shortlisted yes/no Name: Position: In what capacity do you know the referee? Name of Organisation: Address: Telephone number: Email address: May be contacted prior to interview if you are shortlisted yes/no Are you related to any Board Member or employee of the Internet Watch Foundation? If yes, please give full details. Personal Statement: The IWF is a mission driven organisation. As well as this space to show us how you meet the Job Description/Person Specification, using examples, please tell us why you want to work for the IWF, and how you think you will contribute to helping us achieve our mission of eliminating online child sexual abuse.
CONFIDENTIAL - APPLICATION FORM Position Applied For: IT Technician Personal Details: Title: Last Name: Any previous Last Name (s) First Names: Current Address: Home Telephone Number: Mobile Telephone Number: Email Address: Where did you see the post advertised? Education and Qualifications: (Please include details of all education from age 11 to date and continue on a separate sheet if necessary) Name and address of School/College Dates attended From - To - Qualifications obtained and grade/level Please give details of any other professional or vocational qualifications you hold that are relevant to your application
Date of birth: Nationality: How would you describe your ethnic origin? (tick one) White – British White – Irish Other White background Gypsy or Traveller Black or Black British - Caribbean Black or Black British - African Other Black Background Asian or Asian British - Indian or Asian British - Pakistani Asian or Asian British – Bangladesh Chinese Other Asian background Mixed –White and Black Caribbean Mixed –White and Black African Mixed –White and Asian Mixed background Arab Other Ethnic background Prefer not to say Do you consider yourself to have a disability or disabilities? (tick one or more) No known disability Specific learning disability (e.g. dyslexia or dyspraxia) General learning disability (e.g. Down’s syndrome) Cognitive impairment (e.g. autistic spectrum disorder or resulting from head injury) Long-standing illness or condition (e.g. cancer, HIV, diabetes, chronic heart disease, epilepsy) Mental health condition (e.g. depression or schizophrenia) Physical impairment or mobility (e.g. wheelchair / crutches / difficulty using arms) Deaf or serious hearing impairment Blind or serious visual impairment Other type of disability: ____________________________________________________________________ Prefer not to say If you require any arrangements to enable you to attend the Assessment Centre please call us on 0191 515 3000. What is your sexual orientation? (tick one) Bisexual Gay man Gay woman/lesbian Heterosexual Prefer not to say Other What is your religion? (tick one) No religion Buddhist Christian Hindu Jewish Muslim Sikh Spiritual Any other religion or belief Prefer not to say Other This is the end of Part 2 of the Application Form. Please ensure you also complete all sections in Part 1.
Position Date From: To: Time Basis(Full/Part Time) Address of Contact Person Responsibilities Working Experience 2 Institution/Employer Location Appointment Held Date From: To: Time Basis(Full/Part Time) Address of Contact Person Responsibilities Achievements in Scientific Research Awards/ Publications/ Monographs/ Patent/ etc. Date of Receipt Awards Name, Level and Certificate No./ Name of the Journal and ISSN, Accession number/ Publisher and ISBN/ Patent Licensing No. Author (Format N/M,N= ranking position of the applicant, number of the authors. Current Assumed Scientific Research Project Name Source From/To Fund Responsibilities Referees Name of Referee Position Organization and Correspondence Address Telephone Number and E-mail Address Other Experiences or Statements
Number of Hours worked per week: Name and Address of Employer Postcode Nature of Business Date of Appointment Salary and Hourly Rate (Full time equivalent) Period of Notice / Contract End Date Summary of Duties Responsibilities Reason for Leaving: PREVIOUS EMPLOYMENT (most recent first - you may include unpaid work) Please give a brief explanation of any periods of unemployment Employer’s Name and Address Title of Post Held Salary and Scale (FTE) Date From Date To Reason for leaving
White and Asian mixed background Bangladeshi Other Asian Background White British Irish Other (please state) ______________________ Chinese or ethnic group Chinese Any other ethnic group, please write in ___________________________________________ I am Heterosexual Transsexual Gay/Lesbian Prefer not to say The Disability Discrimination Act 1995 says that someone is disabled if they have a “physical or mental impairment, which has a substantial long term adverse effect on their ability to carry out normal day to day activities”. I consider that I am a disabled person as defined in the Disability Discrimination Act Yes No I consider that I am a disabled person but do not feel I meet the Disability Discrimination Act definition Yes No
ETHNIC ORIGIN (please tick) White: British Irish White background – other Mixed: White and Black Caribbean White and Black African White and Asian Mixed background – other Asian or Asian British: Indian Pakistani Bangladeshi Asian background – other or Black British: Caribbean African Black background – other Chinese Arab Gypsy or Traveller Other ethnic group Prefer not to say RELIGIOUS BELIEF (please tick) Buddhist Jewish Sikh Prefer not to say Christian * Muslim Spiritual Hindu No religion Any other religion or belief *Includes Church of England/Scotland/Ireland, Catholic, Protestant and all other Christian denominations. ADVERTISING SOURCE Where did you first learn about this vacancy?
APPLICATION FORM for the post of: Online and Internal Communications Coordinator Please indicate the location you are applying for by ticking the relevant box: Dublin Please complete each section of this application as fully and as carefully as possible using black lettering as applications will be short-listed on the basis of the information provided on this form. It is imperative that all sections of this application form are completed in full. Surname: Other Names: (in full) Title: Mr □ Ms □ Miss □ Other (please specify) Address for Correspondence: Telephone: Home: Work: Mobile: Email: Work Permit: Are there any legal restrictions on your right to work in this Country? Yes No (If yes, please supply details) Source of Application: (Please state name of Newspaper, Periodical; Internet, Internal) 5. Have you previously availed of a Voluntary Early Retirement Scheme or any other Redundancy Scheme in the Public Sector? Yes No If yes, do the terms of the Scheme allow you to apply for this position? Yes No 6. Declaration:
Name: Hourly Rate: € Number of hours: Role in € 0.00 Total Personnel Costs € 0.00 costs. For each cost attach a quote issued within the last 3 months. Supplier: Description of services and reason why it is relevant to the project: € 0.00 Supplier: Description of services and reason why it is relevant to the project: € 0.00 Supplier: Description of services and reason why it is relevant to the project: € 0.00 Total Sub-contracting costs € 0.00 Acquisition of Knowledge / Intellectual Property Source: Description and reason why it is relevant to the project: € 0.00
Keele University - Human Resources - Promotions Form PROM 1 (STF) THIS FORM IS TO BE USED FOR ALL APPLICATIONS FOR PROMOTION TO SENIOR TEACHING FELLOW Please ensure that you read the appropriate current Promotions Procedure and the guidance notes section at the bottom of this form. These documents can be viewed and downloaded from on the Human Resources Promotions Page :- Title Name Faculty School/ Research Institute Current FTE Previous FTEs Please provide dates only of any periods of absence within your CV. Reasons for absence are not required, you are encouraged to provide further information on circumstances which you wish to be taken into consideration in the Personal Circumstances and Equality & Diversity section of this form Case to be made on the grounds of excellence in Learning and Teaching And Professional, Organisational and Managerial Activities Application for Promotion to SENIOR TEACHING FELLOW Submission Checklist Please note that will only be considered where an electronic copy of the application documentation has been submitted to Human Resources, in the format specified AND by the given deadline. Guidance as to the required format for CVs, publications and grant information is available from the HR website. Cases which are not submitted using these formats will not be considered. A completed PROM 1 (STF) form A personal statement from the candidate no more than 2 sides of A4 minimum Arial font size 11 A supporting statement from the Head of School/Research Institute Director no more than 2 sides of A4 minimum Arial font size 11 CV in required format Grant information list in required format Publications list in required format A completed IA form Personal Circumstances and Equality & Diversity Monitoring Form I confirm that I am satisfied that ‘raw data’/evidence exists to support claims made in this case. Signed …………………………………………… Date …………………………… Head of School/ Research Institute Director – please delete as appropriate.
PROMOTION TO SENIOR LECTURER, SENIOR TEACHING FELLOW & SENIOR RESEARCH FELLOW NAME OF CANDIDATE – The purpose of consulting independent assessors is to indicate to the Committee how the candidate’s standing in the academic community has made an impact outside their immediate circle. It follows, therefore, that it is not in the candidate’s interest to nominate independent assessors who are too close to the candidate, for example ex-supervisors, collaborators or co-authors, or anyone who has recently had a direct involvement with him/her. Candidates are requested not to contact any independent external assessors in relation to their submission for promotion. Nominations for independent assessors are as follows: Promotion Minimum number of assessors nominated in case Minimum number to be contacted Minimum number normally required for decision Candidate HOS/RID Promotion to Senior Lecturer, Senior Teaching Fellow and Senior Research Fellow. 2 3 4 (one nominated by candidate) 3 INDEPENDENT ASSESSORS NOMINATED BY CANDIDATE ASSESSOR DETAILS: NAME, INSTITUTION, ADDRESS, TELEPHONE NUMBER AND ADDRESS DESCRIBE YOUR RELATIONSHIP TO THE ASSESSOR STANDING OF ASSESSOR(1)
Part C: Teaching experience Please give details of all teaching experience (most recent first). NB: It is a requirement of DCSF Guidance: Safeguarding Children and Safer Recruitment in Education (January 2007) that any gaps in employment history are identified and fully explained. Local Education Authority or employer, name and size of school (number on roll). Age range taught (specific range required) Dates of employment and reasons for leaving Post / position held Curriculum responsibilities / subjects Point or relevant salary scale and allowances Current post Previous posts
this we will provide further information, including on the application form itself, as to why we are collecting your information and how we will use it. Why Do We Process Personal Information? We may process personal information, including sensitive personal information, for the purposes of determining the suitability and eligibility of applicants as contestants/contributors to our productions; the maintenance of records; and monitoring for equal opportunity purposes. This policy relates to our use of any personal information you provide to us via application form, phone text, email, in letters or other correspondence. Will Mighty Productions Use My Personal Information to Contact Me? Mighty may contact you in response to any application form or notification of interest from you related to our productions; in relation to any other correspondence we receive from you, for example, your requesting further information on Mighty or any of its productions; in relation to a contribution you have previously made to Mighty or our productions. Will Mighty Productions Use My Personal Information For Any Other Reason? Where Mighty proposes using your personal information for any other use we will first notify you and you will be given the opportunity to withhold or withdraw your consent for the use of your personal information for purposes other than those listed above. Contact details Under the Data Protection Act 1998 you have the right to ask for a copy of the information which Mighty Productions holds on you - for which a small fee can be charged - and to request correction of any incorrect information held. Requests should be made in writing to The Data Protection Officer Mighty Productions, Somerset House, West Wing, The Strand, London, WC2R 1LA You hereby undertake that the information you give in this application form is correct and that you meet each of the Eligibility Requirements as detailed above as well as accepting the Terms and Conditions of entry. If any of the information you provide in this application form becomes incorrect, you agree to immediately inform us of the nature of any such change. You hereby acknowledge that, in the event we select you to appear in the Programme and you have given false information on this application form or fail to abide with the Terms and Conditions or any of our other reasonable instructions or directions, then we shall be entitled to terminate your participation in the Programme. IF YOU ARE RETURNING THIS APPLICATION FORM ELECTRONICALLY, THEN BY PRINTING YOUR NAME YOU ARE AGREEING TO THE ABOVE TERMS AND IF YOU ARE ASKED TO ATTEND AN AUDITION WE WILL ASK YOU TO SIGN AND RE-DATE THIS FORM IN PERSON.
a s p i r e ∙ e n j o y ∙ i n c l u d e ∙ r e s p e c t ∙ c o m m u n i t y Castlegate ∙ Cockermouth ∙ CA13 9HF ∙ T: 01900 898888 ∙ F: 01900 898889 ∙ E: ∙ www.cockermouthschool.org Cockermouth School is a company limited by guarantee ∙ Registered in England ∙ Company No: 09679536
Part C: Teaching experience Please give details of all teaching experience (most recent first). NB: It is a requirement of DCSF Guidance: Safeguarding Children and Safer Recruitment in Education (January 2007) that any gaps in employment history are identified and fully explained. Education Authority or employer, name and size of school (number on roll). Age taught (specific range required) Dates of employment and reasons for leaving Post / position held Curriculum responsibilities / subjects Point or relevant salary scale and allowances Current post Previous
Date employment Date employment started ended Reason for Leaving Name of Employer: Main duties / responsibilities Name, Address of Employer Date employment Date employment started ended Reason for Leaving YES NO Have you had any breaks in your employment If ‘yes’, please give details Education & Qualifications School(s)/Colleges/Universities attended Subjects with grades where appropriate Period of study (please indicate full/part time) Degree or Qualifications obtained Awarding Body & Date of Award In-Service Training Please give details of any courses relevant to this post attended in the last three years.
Membership of professional institutes Please indicate whether membership is by examination Institute Level of membership Year of Award Other Experience Please describe all time spent since leaving full-time education. Full details should be given for any period not accounted for by full-time employment, education and training. This would include e.g. unemployment or voluntary work. Please state this information in chronological order. Experience From / To Driving Licence Only answer if a full driving licence is an essential requirement of the job. Do you hold a current Driving Licence? (select as applicable) Yes / No If YES, please state the type of licence you hold Do you have any current endorsements? (select as applicable) Yes / No If YES, please specify:
3. Employment/Work Experience Please include any previous work experience, either paid, unpaid or voluntary starting with the most recent. Current/most recent School or employer (with address) Position Held: Full or Part Time: Present salary and point on pay spine: Date employment ceased if applicable: Date Started: Employing Authority: Age Boys/Girls/ Mixed: Approx No. on Roll: Duties and Responsibilities: Date Passed Threshold (if applicable): Previous schools or employers/employer and Employing Authority Age Range + Boys/Girls/ Mixed Approx. No. on Roll Position held and responsibilities (and full time or part time) Dates Reasons for Leaving From To
3. PREVIOUS EMPLOYMENT Please start with the most recent including any unpaid or voluntary work. Continue on separate sheet if necessary. Job title including, if applicable, subject and areas taught and any responsibilities Employer/School and LA (if applicable) including age range and number on roll Dates From - to (month & year) Reason for leaving Please account for any gaps in your employment history: 4. EDUCATION, TRAINING AND DEVELOPMENT Secondary school/college/university/apprenticeship including current studies, with the most recent first. Name of institution Dates From – To (month & year) Courses/subjects taken Qualifications/grade NB. We reserve the right to contact employers or educational establishments to verify details given. Details of any recent relevant professional development. Please include dates.
IRCMS Fellowship Program Application Form Personal Information Name (LAST, First, Other) *Please give your full name exactly as in your passport. (LAST) Other) Nationality Date of Birth (M/D/Y) Gender Mailing address & Tel E-mail Your most recent University Academic Degree Graduation Date □Expected / □Actual (Month) (Day) (Year) GPA in the last degree English Score IELTS TOEFL Others Number of publications (only in the journal which has impact factor) *Please list the publications in the following pages. Desired Department in IRCMS (IRCMS-I, II, III, IV and VI) Situation of applying for other scholarship and fellowship □Yes □No name of the Please describe the research topics you are interested in and what you wish to accomplish at IRCMS (Be as detailed and specific as possible). Please add lines if necessary.
Name of organisation Name of person contributing to the project: Address Postal code/city/state Country Role and responsibility (link to specific objective /activity): Contribution/ Technical competencies Name of organisation Name of person contributing to the project: Address Postal Country Role and responsibility (link to specific objective /activity): Contribution/ Technical competencies OVERALL PROJECT GOAL AND MAIN OBJECTIVES Formulate one overall project goal and up to a maximum of five immediate project objectives which address the issues and gaps identified in section 2.2. The overall goal is the broader aim to which the project will contribute. The immediate project objectives shall be accomplished through the project. For more information, refer to the Application Guideline. Overall goal Objective 1 Objective 2 Objective 3 Select the WDF intervention and focus area targeted in the project. WDF intervention used in project: Access to Care Prevention Advocacy WDF focus area(s) targeted in project: Type 2 diabetes Diabetes foot care Diabetes eye care Pregnancy and diabetes Type 1 diabetes TB and diabetes PROJECT ACTIVITIES This section shall be exhaustive and detailed (min. 3-5 pages). Special emphasis will be put on this section during the technical consultation with the WDF Secretariat. Consult the Application Guideline. Insert headings corresponding with the number of each of the planned activities and results under each objective.
Resources Provide outline estimates for all other resources that you will need and the progress you have made in securing them (eg people, buildings, equipment, services, facilities and materials). Success Criteria How will you measure whether you have been successful in meeting the need? Ability and Experience Provide details of your organisation’s ability and previous experience in this area. Distinguishing Factors What distinguishes you and this application from other charities working in this area, or similar applications? Enclosures The following enclosures are required (one copy only, double-sided if possible): Enclosed Supporting information about your organisation Current year’s summary income & expenditure budget Most recent annual report Most recent accounts Inland Revenue certificate of exemption (if required) Supporting information about the project or activity (optional)
S2 S1 S2 S1 S2 A ... A1 ... A2 ... A3 ... B ... B1 ... (S = Semester) BUDGET Requested budget by the Belgian partner AND by the South-African partner Activity Code Activity Name Budget Belgium (BELSPO) Budget South -Africa (NRF) total budget A B ... (in euros) € € € The Belgian CO-ORDINATOR The South-African CO-ORDINATOR Name: Name: Signature: Signature:
save this form under another name. To complete this form, point your mouse arrow on to the highlighted portions OR use your tab key to move between the highlighted fields and start typing. You must complete the application form in full as we do not accept CVs. PART A Application for (Job Title):Prescriptions Administrator Job Reference No: Cairn/Scripts/2018-1 Location: Cairn Medical Practice Candidate ID No: No applicant will be unfairly discriminated against. We are particularly alert to eliminating discrimination on account of age, cultural/religious/political belief, disability, ethnicity, gender, race, relationship status, sexual orientation, and/or Trade Union membership or stewardship. Only 'Part C' of this form will be made available to short-listing panels. Parts A, B and C would then be used by the interviewing panel if you are selected for interview. Personal Details Surname: Forename: Name known: by (if different) Title: Address: Post Code: Contact Telephone Numbers: Day: Evening: Mobile: E–mail: address (if we may use this): If we need to, the best way for us to contact you is by: If you were resident at a different address for your last job, we will need that address should we seek a reference for you. Work Permit Do you need a work permit to take up this post? Yes No Working in the UK Are you eligible to work in the UK? Yes No
PART C Application for (Job Title): Prescriptions Administrator Job Reference No: Cairn/Scripts/2018-1 Location: Candidate ID No: Qualifications Achieved Subjects Type of Qualification eg. Standard Grade, GCSE, Higher, BSc Grade Achieved Qualifications Currently Studying or Working Towards Subjects Type of Qualification eg. Standard Grade, GCSE, Higher, BSc Grade Anticipated Date Anticipated Membership of Professional or Regulatory Bodies Full name of organisation(s) Registration Number Renewal Date
Dated : 16-11-2016 Walk in Interview: 02nd December 2016 APPLICATION FOR THE POST OF SENIOR RESIDENT/JUNIOR RESIDENT / TUTORS 1 Name of Candidate (In capital letters) 2 Subject 3 Sex 4 Category, SC/ST, Cat-I/ IIA/ IIB/ IIIA/ IIIB/ GM / 371(J) (Specify & attach Category Certificate) 5 Nationality 6 Postal address for correspondence (Mobile No. E-mail I.D., if any) can also be given 7 Name of Father/ Mother/ Husband: 8 Date of Birth as recorded in the SSLC Marks Card. 9 Particulars of PG registration No. with State Medical Council to be furnished. 10 Qualification prescribed for the post as per MCI 11 Specify post for which applied. PTO .. 2 .. 12 Qualification Marks/Grade Etc. Aggregate of all years Name of the College & University & Year of Passing No.of Attempts Whether Recognized by MCI Max. Marks Marks Obtained Grade 1 MBBS 2 PG 3 Diploma 4 Any Qualification 13 Teaching Experience Designation Name of Institution / University Period (DD/MM/YYYY) Total Experience in years & months From To 1 Tutor/Demonstrator 2 Senior Resident National International 14 No. of Scientific papers presented (Zerox copies of certificates to be enclosed)
AVAILABILITY TO WORK Please give indication to times and days you are available to work (E.g. mornings, afternoons, evenings). Are you currently a student? Yes No If ‘yes’, will your availability change between Term and Vacation time? Yes No If ‘yes’, please provide details ADDITIONAL INFORMATION Disclosure of criminal background Have you ever been (i) cautioned (ii) convicted of a criminal offence which is not considered to be spent or (iii) do you have any hearings pending? Yes No If ‘YES’ please provide further information on a separate sheet. Details of relatives at College Are you related to anyone at the College? Yes No If ‘Yes’, please give details below Name
Application for Admission Application Category □Master Desired Major (Check one): □ International Studies Program □ Advanced Interpretation & Translation Program Ⅰ. PERSONAL INFORMATION 1.Name: ____________________________________________________________________________ (Last) (First) (Middle) 2. Sex: □Male □Female 3. Date of Birth: ____/____/____ mm dd yy 4. Mailing Address: ____________________________________________________________________ ____________________________________________________________________ 5. Phone Number Home ____________________________ Mobile ____________________________ E-mail ____________________________ Ⅱ. EDUCATIONAL BACKGROUND Name of Institution Dates Attended Degree
CZECH-ISRAELI COOPERATIVE SCIENTIFIC RESEARCH – Call for Joint Project Proposals 2019-2021 – ‘Artificial Intelligence' and ‘Clean-Tech’ Title (In English) Title (In Hebrew) (must be added) Title (In CZECH) (must be added) Five Keywords (In English) (Must be added) Principal Investigator Name, institutional affiliation and contact of co-principal Czech investigator (Head of team CZ1) First Name:
APPLICATION FOR WVSU & UNIVERSITY COLLABORATIVE PROGRAM You are requested to provide the following information so that West Virginia University can provide statutorily mandated reports on its diversity efforts. This information is voluntary. ETHNICITY: Are you Hispanic/Latino? ☐ Yes ☐ No Regardless of your answer to the ethnicity question, please select one or more of the following that best describes you: ☐ American Indian or Alaskan Native ☐ Native Hawaiian or Other Pacific Islander ☐ Black or African American ☐ Asian ☐ White
EDUCATIONAL QUALIFICATIONS (ATTACH ADDITIONAL PAGES, IF REQUIRED) NAME OF THE COURSE NAME OF THE BOARD / UNIVERSITY MONTH & YEAR PASSED DIVISION % OF MARKS CGPA (IF GRADING IS APPLICABLE) SUBJECTS STUDIED S.NO. OF ENCLOSED (A) (B) (C) (D) (E) (F) (G) (H) 10TH CLASS/ EQUIVALENT 10 + 2 / EQUIVALENT BACHELOR’S DEGREE P.G. DIPLOMA MASTER’S DEGREE OTHERS CHRONOLOGICAL LIST OF EXPERIENCE (INCLUDING CURRENT POSITION/ EMPLOYMENT) DESIGNATION AND OF PAY NAME AND ADDRESS OF EMPLOYERS PERIOD OF EXPERIENCE NATURE OF WORK/DUTIES S.NO. OF PROOF ENCLOSED FROM DATE TO DATE NO. OF YEARS /MONTHS (AS ON DATE OF ADVERTISEMENT) (A) (B) (C) (D) (E) (F) (G) PRESENT POSITION (IF ANY) DESIGNATION NAME OF THE ORGANIZATION BASIC PAY (`) PAY SCALE (`) GROSS PAY / TOTAL SALARY P.M. (`) REMARKS
Page 1 of 5 12) Address For Communication Permanent State: Pin: State: Pin: Phone (R) :………………………………... Phone (O) :………………………………... Mobile :………………………………... 13) Category SC* OBC* ST* UR (Put √ marks) (*Attach a certificate from the competent authority prescribed by the Government of Yes No 14) Whether Physically Challenged (Put √ marks) If yes VH [ ] OH [ ] Disability………………… (%) (*Attach a certificate from the competent authority as prescribed under government rules) 15) Educational Qualification (10th Std onwards) (Attach self-attested copies) Sr. No Examination/Degree Board/University Subjects Month and Year of Passing Percentage/Division Marks Obtained/Total Marks Signature of Applicant
NATIONAL LAW UNIVERSITY AND JUDICIAL ACADEMY, ASSAM (ESTABLISHED BY THE ASSAM ACT NO. XXV OF 2009) HAJO ROAD, AMINGAON, GUWAHATI - 781 031, ASSAM (INDIA) APPLICATION FORM FOR ACCOUNTANT ADVERTISEMENT PUBLISHED IN ………….………………………… DATED…………………………………. FORM NUMBER (FOR OFFICE USE ONLY) …………………... PASTE YOUR RECENT PASSPORT SIZE PHOTOGRAPH HERE NAME OF THE POST APPLIED FOR PERSONAL DETAILS A. NAME (IN CAPITAL LETTERS) FIRST NAME MIDDLE NAME SURNAME B. DATE OF BIRTH DAY MONTH YEAR AGE AS ON DATE YEAR MONTH C. PLACE OF BIRTH CITY / VILLAGE STATE COUNTRY D. FATHER’S NAME E. MOTHER’S NAME F. NATIONALITY G. GENDER MALE / FEMALE / OTHER: H. COMMUNITY/CATEGORY (TICK WHICHEVER IS APPLICABLE) GEN / SC / ST(P) / ST(H) / OBC / MOBC / PC / / EX-SERVICEMAN / OTHER CATEGORIES IF OTHER CATEGORY:- GIVE DETAILS _______________________________ (ATTACH RELEVANT CERTIFICATES AS PROOF) I. MARITAL STATUS MARRIED / UNMARRIED IF MARRIED, NAME OF SPOUSE _______________________________ J. IF SPECIALLY ABLED, INDICATE THE RELEVANT PARTICULARS IF APPLICABLE, WRITE ‘YES’ PERCENTAGE OF DISABILITY BLINDNESS OR LOW VISION HEARING IMPAIRMENT LOCOMOTOR DISABILITY OR CEREBRAL PALSY (INCLUDES ALL CASES OF ORTHOPAEDICALLY HANDICAPPED) EDUCATIONAL QUALIFICATIONS (ATTACH ADDITIONAL PAGES, IF REQUIRED) NAME OF THE COURSE NAME OF THE BOARD / MONTH & YEAR PASSED % OF CGPA (IF GRADING IS S.NO. OF PROOF (A) (B) (C) (D) (E) (F) (G) (H)
10TH CLASS/ EQUIVALENT 10 + 2 / EQUIVALENT BACHELOR’S DEGREE P.G. DIPLOMA MASTER’S DEGREE OTHERS CHRONOLOGICAL LIST OF EXPERIENCE (INCLUDING CURRENT POSITION/ EMPLOYMENT) DESIGNATION AND SCALE OF PAY NAME AND ADDRESS OF EMPLOYERS PERIOD OF EXPERIENCE NATURE OF WORK/DUTIES S.NO. OF PROOF ENCLOSED FROM DATE TO DATE NO. OF YEARS /MONTHS (AS ON DATE OF ADVERTISEMENT) (A) (B) (C) (D) (E) (F) (G) PRESENT POSITION (IF ANY) DESIGNATION NAME OF THE ORGANIZATION BASIC PAY (`) PAY (`) PAY / TOTAL SALARY P.M. (`) REMARKS CANDIDATE’S NAME AND ADDRESS FOR CORRESPONDENCE NAME COMPLETE ADDRESS WITH PIN CODE MAILING ADDRESS PERMANENT ADDRESS E-MAIL PHONE NO. (LANDLINE WITH STD CODE) MOBILE NO. FAX NO.
Previous Employment with Children Other than the employment mentioned above, have you ever worked within a role that involved contact with children or young people? YES NO If yes, please provide details below. Oasis reserve the right to contact any of your previous employers. Name and address of employer Position held (Please state if Full-time or Part-time) Start Date (mm/yyyy) End Date (mm/yyyy) Reason for leaving Education Date Subjects Examination Results/Grades
This completed Application form is to be submitted to (Runaí, Accreditation Central Review Group) - 1. APPLICANT DETAILS 1.1 IDENTITY OF THE APPLICANT BODY Official name of the Applicant Body: Please indicate the name of the applicant body Status of the Applicant Body: Please indicate the status of the applicant body below. Please note applications are only open to units of the GAA or units of the GAA’s sister organisations. GAA Unit Club County Board Provincial Council 1.2 CONTACT DETAILS OF THE PERSON RESPONSIBLE FOR THE APPLICATION First Name: Family Name: Position/Function: Telephone: Mobile: Email: Fax: 2. APPLICATION DETAILS
Job Start Date Notice required or date left Salary If part-time, please give hours per week Please give details of your main tasks and responsibilities – and, if applicable, your reason for leaving: Please explain why you are applying for this post at this time: Part C: Employment History (most recent first) Please give as much relevant information as possible. For posts working with children and vulnerable adults you must give your full employment history from when you left school/higher education and explain any gaps in your employment and include dates. Please include any time spent employed as a volunteer. Name & Address of Employer Dates From/To (MM/YY) Job Role Salary and Reason for Leaving Part D: Academic, Professional and Vocational Qualifications Exams Passed (Level) Qualifications & Memberships Grade and Date Name of Educational Establishment and/or Professional or Awarding Body
I confirm that I am entitled to live and work in the United Kingdom. I am willing for this data to be held and processed by North Town Primary School and to be verified with relevant third parties. This may include previous employers. The information on this form is accurate. I understand that providing false information is an offence and may lead to my application being disallowed or, should I be appointed, to my dismissal and, where appropriate, may be referred to the police. Signed Date If you apply online and are shortlisted, you will be asked to sign your application at interview. Confidential Equal Opportunities-Recruitment Monitoring This form will be kept separate from your application form. It is not referred to during the selection process. North Town Primary School values diversity and is committed to promoting equality of opportunity for our employees and job applicants. We monitor our recruitment and selection practices to fulfil our statutory duty relevant to equality in employment and to ensure our practices are fair, equitable and consistent with the aim of appointing the best person for the job. Recruitment monitoring enables us to take active steps to promote better policy and organisational practice. The information you supply on this questionnaire will be recorded confidentially on our HR Systems and held for a maximum of 12 months. During this time it will be used solely for the purposes of monitoring the profile of our job applicants. Access to the data will be restricted to nominated staff. If you are appointed, the data will also be used for our HR/Payroll records purposes, which includes another legal requirement, workforce monitoring. We aim to ensure all applicants and employees, regardless of circumstances or status, receive equal access to opportunity and fair treatment. For these reasons it is important that you complete the recruitment monitoring questionnaire in addition to the application form. Once completed, the questionnaire should be returned with your application to the school. Thank you for your co-operation.
EMPLOYMENT HISTORY continued Dates of employment Name and address of employer and nature of business Contract status e.g. permanent, fixed term, part-time (state FTE) Position held and brief details of responsibilities (please include reason for leaving) Remuneration and rate (i.e. hourly, weekly, annually) From DD/MM/YY To DD/MM/YY
3. EMPLOYMENT STATUS (Since last EPE appeared) Sr. No. Name of Company/ Organization Status (Govt./Semi-Govt/ Autonomous/Private) Designation Experience From-To Experience Years/ Months 3.1 3.2 4. CPD SCORE ACCUMULATED SINCE LAST EPE APPEARED (Enclose attested documentary evidence) Sr. # Category Sub-Category (As per Annex-A of CPD Byelaws) Professional Engineering Body Credit Hours Claimed Credit points Claimed Remarks 4.1 Formal Education (Higher Education duly recognized by PEC/HEC) 4.2 Work Based Learning (Work Experience, Engineering related work including Management) 4.3 Developmental Activities (Conferences, Seminars, Workshops, Lectures, memberships etc.) 4.4 Individual Activities (Symposium Panelist, Authoring of Book, recognized social work etc.) Total EXAMINATION CENTRES (For detail visit PEC website) Sr. No. Preferred locations in order of priority (select any three) (Islamabad, Karachi, Lahore, Quetta, Peshawar) 5.1 5.2 5.3 FEE
Chairman and Convener of different standing Committee and Special Committee (Ex-Officio status will not be considered), Faculty-In-Charge (Each for one year duration) of different Units or Equivalent since last promotion CREDIT POINTS CLAIMED ____ Departmental Activities Identified by HOD like or Departmental Committee for a min. period of one year since last promotion CREDIT POINTS CLAIMED ____ WORKSHOP / FDP / SHORT TERM COURSES OF MIN. 05 WORKING DAYS DURATION OFFERED AS COORDINATOR OR CONVENER SINCE LAST PROMOTION CREDIT POINTS CLAIMED ____ Give the details of “workshop / FDP / short term courses of min. 05 working days duration offered as coordinator or convener since last promotion” in support of claimed credit points in the following format:
SECTION E: WORK RELATED EXPERIENCE Please rate yourself on your proficiency with the following: Note: 1 = Minimal Experience 2 = Moderate Experience 3 = Extensive Experience Microsoft Office (Word, Outlook, etc.) Minimum Maintenance Standards for Municipal Highways (O.Reg 239/02) Occupational Health and Safety Act & Regulations Construction Supervision Construction Activity Logs / Daily Journals Please identify any additional skills. (If rating yourself on software, please identify the application.) SECTION F: REFERENCES For reference purposes, may we approach your present/last employer? Your former employer? List career-related references and telephone numbers if different from listed as present and former employers. Exclude family members. 1) 2) 3)
Total In-kind contribution $ Planning Checklist To determine whether you require any building, planning and food safety permits for this project please complete the following checklist. Will the event be held on private land? YES/NO Will you be providing or selling food as part of this project? YES/NO Will you be erecting any structures (marquees, seating)? YES/NO Are road closures required? YES/NO If you have answered yes to any of questions, you may need to complete the Golden Plains Shire Event Application form to ensure you have the relevant planning permits for your event. This can be found online by clicking here: https://www.goldenplains.vic.gov.au/news/planning-event Alternatively you can contact Golden Plains Shire Community Events Officer for more information: Elaine Kellett 2 Pope Street, Bannockburn VIC 3331 Ph: 5220 7111 Email: elaine.kellett@gplains.vic.gov.au Application Checklist Please complete the checklist below to ensure you have completed all the steps necessary to apply for funds All questions are answered Have an Australian Business Number (ABN) or have completed a from the Australian Tax Office (to ensure no withholding of tax) Copy of public liability insurance certificate is attached Prepared to complete evaluation questions and two photographs of the project within one month of completion Obtained all relevant permits. If you are holding an event on public land and/or preparing food, please visit council’s event page, for more information. Registered as an incorporated body or have identified an auspice group The budget how Council’s funding is matched dollar for dollar, either through cash or voluntary in-kind services Have demonstrated an ongoing benefit to the community Accurate costings/quotes are supplied
Experience 1 From (dd/mm/yy) To (dd/mm/yy) Organization with its brief profile Designation held Brief profile of the Responsibilities held Experience 2 From (dd/mm/yy) To (dd/mm/yy) Organization with its brief profile Designation held profile of the Responsibilities held Experience 3 From (dd/mm/yy) To (dd/mm/yy) Organization with its profile Designation held Brief profile of the Responsibilities held Total Experience (in years) (Add extra sheet if required) Awards/Recognition/Achievements: Any other information that the candidate would like to give in support of his/her candidature Date: Place: Signature of the Candidate Note: The candidate may use additional paper wherever required.
PART III: DETAILS OF PARTNERSHIP/INTERDISCIPLINARY RESEARCH TEAM Partnership with other institutions: Other researchers/ co-workers involve in the project Name of Institution Name of researcher and position of expertise Qualifications of team members: Name of co- researchers Highest Qualifications Institution/Awarding Body Date obtained* Workload/ Contribution Name of co-researchers Expected % of work load Expected contribution toward the project /tasks
1 2 3 4 5 6 PART V: RESEARCH OUTPUT AND DISSEMINATION (List all planned and expected outcome/ output to be achieved at the end of each year) Expected outcome at end of Year 1 Expected outcome at end of Year 2 Expected outcome at end of Year 3
PART III: DETAILS OF PARTNERSHIP/INTERDISCIPLINARY RESEARCH TEAM Partnership with other institutions: Other researchers/ co-workers involve in the project Name of Institution Name of researcher and position Field of expertise Qualifications of team members: Name of co- researchers Highest Qualifications Institution/Awarding Body Date obtained* Workload/ Contribution Name of co-researchers Expected % of work load Expected contribution toward the project /tasks
From DD/MM/YY To DD/MM/YY MEMBERSHIP OF PROFESSIONAL INSTITUTIONS (if applicable) Date of membership Qualification / member status Please include review / renewal dates if applicable. EMPLOYMENT HISTORY Starting with your present or most recent job, please give a summary of all employment, including any freelance and relevant unpaid work. Dates of employment Name and address of employer and nature of business Contract status e.g. permanent, fixed term, part-time FTE) Position held and details of responsibilities (please include reason for leaving) Remuneration and rate (i.e. hourly, weekly, annually)
From DD/MM/YY To DD/MM/YY EMPLOYMENT HISTORY continued Dates of employment Name and address of employer and nature of business Contract status e.g. permanent, fixed term, part-time (state FTE) Position held and brief details of responsibilities (please include reason for leaving) Remuneration and rate (i.e. hourly, weekly, annually) From DD/MM/YY To DD/MM/YY
From DD/MM/YY To DD/MM/YY EMPLOYMENT HISTORY continued Dates of employment Name and address of employer and nature of business Contract status e.g. permanent, fixed term, part-time (state FTE) Position held and brief details of responsibilities (please include reason for leaving) Remuneration and rate (i.e. hourly, weekly, annually) From DD/MM/YY To DD/MM/YY
ADDITIONAL QUESTIONS Why are you interested in this job? Please expand answer box or continue on an additional sheet if necessary Briefly describe how you think an organisation like Homeless Link should address equal opportunities in its work Please expand answer box or continue on an additional sheet if necessary DISABILITIES Do you require any special arrangements to be made for your interview and/or assessment test on account of a disability? Yes No If “yes” please give brief details of the effects of your disability on your day-to-day activities and any other information that you feel would help us accommodate your needs during your interview and/or assessment test and this meet our obligations under the Equality Act 2010. SUPPORTING PEOPLE WITH EXPERIENCE OF HOMELESSNESS