Senior Leadership Application Form

Step 1 of 5

Phone

This field is for validation purposes and should be left unchanged.

Date(Required)

This application is for the position of:(Required)

Where did you see this position advertised?(Required)

Other:(Required)

If you chose "other" for where you saw this position advertised, please let us know where below:

Your Personal Details

Name(Required)

First Last

Date of Birth(Required)

Gender(Required)

Your permanent address:(Required)

Your present address:(Required)

Email(Required)

Enter Email Confirm Email

Phone Number(Required)

Nationality(Required)

National Registration Card Number

Please include your NRC number if you are based in Zambia.

Passport Number

Place of Issue

Date of Issue

Date of Expiry

How long do you envisage staying at Chengelo?(Required)

Marital status(Required)

Name of spouse:(Required)

Profession/Occupation of spouse:(Required)

Is your spouse potentially interested in working at Chengelo too?(Required)

Yes

Maybe

Details of children

Click the "+" icon to add additional rows.

Name

Gender

Age

School Grade

Indicate your level of health(Required)

Do you have chronic ailments?(Required)

Yes

Details of chronic ailments(Required)

Are you presently receiving treatment for any illness?(Required)

Yes

Details of treatment(Required)

When was your last physical check up?(Required)

Your First Referee

Your first referee should be someone who knows you professionally.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Enter Email Confirm Email

Your Second Referee

Your second referee should be someone who knows you spiritually (e.g. your pastor, minister or church elder).

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Enter Email Confirm Email

Document Uploads(Required)

Please upload a photo of yourself (and spouse if applicable) and scans of relevant supporting documents: 1. CV 2. Degree certificates etc. 3. Practicing licenses etc. (Maximum of 10 files, each under 5mb)

Drop files here or

Accepted file types: jpg, jpeg, pdf, png, gif, Max. file size: 10 MB, Max. files: 10.

Personal Guarantee(Required)

I certify that I have not purposely withheld any information that might adversely affect my chances for working/volunteering at Chengelo. I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure can be grounds for rejection of my application or, if I am engaged by Chengelo School, terms for my immediate dismissal from the School. I permit the School to examine my references, record of employment, education record, and any other information I have provided. I authorize the references I have listed to disclose any information related to my work record, spiritual life and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the Chengelo School, my former employers & all other persons from any and all claims, demands or liabilities arising out of or in any way related to such examination or revelation. I confirm that all the details I have entered into this form are true. I understand that if the information is false or misleading it will disqualify me from my appointment or after appointment could lead to a disciplinary action or dismissal.

I agree

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Senior Leadership Application Form

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Your First Referee

Your Second Referee

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