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Please enable JavaScript in your browser to complete this form.
1
PERSONAL DETAILS
2
EMPLOYMENT HISTORY
3
EDUCATION AND TRAINING
4
MAKTAB KNOWLEDGE
5
EXPERIENCE AND ACHIEVEMENTS
6
MEDICAL
7
CRB / Criminal Offences
8
REFEREES
PERSONAL DETAILS
Surname
*
Forename (s)
*
Maiden name
Address (Current)
*
Previous address (If current address is less the 5 yrs)
Home Phone Number
Mobile Number
*
Date of birth
*
National Insurance No
*
Marital Status
No. of dependents
Email
*
Email
Confirm Email
Next
EMPLOYMENT HISTORY
Name & Address of present employer
Present post
Date appointed
period of notice required
PREVIOUS EMPLOYMENT
Last three only
Employer (1)
From Date
To Date
Post Title
Reason for Leaving
Employer (2)
From Date
To Date
Post Title
Reason for Leaving
Employer (3)
From Date
To Date
Post Title
Reason for Leaving
Previous
Next
EDUCATION AND TRAINING
Education & qualifications obtained; including degrees, diplomas, teaching and/or other certificates
Years spent in education (please start with most recent)
1) Qualification Obtained
From Date
To Date
Full-Time or Part-Time
Full Time
Part Time
Awarding Body
2) Qualification Obtained
From Date
To Date
Full-Time or Part-Time
Full Time
Part Time
Awarding Body
3) Qualification Obtained
From Date
To Date
Full-Time or Part-Time
Full Time
Part Time
Awarding Body
4) Qualification Obtained
From Date
To Date
Full-Time or Part-Time
Full Time
Part Time
Awarding Body
5) Qualification Obtained
From Date
To Date
Full-Time or Part-Time
Full Time
Part Time
Awarding Body
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Next
Maktab Knowledge
Education & qualifications obtained in Madrasah / Darul Uloom
Are you a graduate of a Darul Uloom?
*
Yes
No
If yes, which year did you graduate?
Give name & address of the Darul Uloom from where you graduated from :
What level of Tajweed have you studied? Please also include the name of your Tajweed teacher (optional)
How confident are you with the Arabic language?
*
Excellent
Very Good
Good
Average
Poor
How confident are you teaching the Arabic language?
*
Very confident
Confident
Not Confident
Have you taught in any Maktab previously?
*
Yes
No
If yes, give details of the Maktabs,
What classes/age groups have you taught?
*
What subjects/kitabs have you taught?
*
What would you prefer to teach?
*
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Next
EXPERIENCE AND ACHIEVEMENTS
Please give a concise account of relevant experience and achievements in support of your application. Please use an additional sheet if necessary.
Previous
Next
MEDICAL
Do you suffer from any medical/health conditions or any disabilities which may affect your work, please notify here:
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Next
CRB / Criminal Offences
Do you have a DBS Enhanced disclosure certificate?
*
Yes
No
Have you ever been convicted of a criminal offence or have been cautioned?
*
Yes
No
If so, please give details, including any ‘spent’ convictions:
Any other relevant information that may support your application:
The information given on this form is complete and correct to the best of my knowledge.
*
Signature
*
Clear Signature
Name
*
Date
*
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Next
REFEREES
Names and addresses and occupation / relationship of two referees who can comment on your work. One should be your current employer, or last employer if unemployed.
May we approach your Referees prior to interview?
*
Yes
No
1) REFEREE
*
2) REFEREE
*
Phone
*
Phone
*
Occupation / Relationship
*
Occupation
Relationship
Occupation / Relationship
*
Occupation
Relationship
Submit
