WCPSC Employment Questionnaire - MOD Assistant Coach

Employment application
Sport MOD Centre

Assistant Coach
R2958.00

Complete this application to the best of your ability.
Choose Position, District & School Carefully

For more information and to view the adverts click here

A. The advertised Post

Position applying for*

Choose the district where you are applying*

Choose Cape Winelands school*

Choose Central Karoo school*

Choose Cape Town Metro Central School *

Choose Cape Town Metro East School*

Choose Cape Town Metro North school

Choose Cape Town Metro South school*

Choose Overberg School*

Choose West Coast School*

Choose Eden school*

Please indicate flexibility on location in the area. *

B. Personal Information

Name*

First NameLast Name

Email*

example@example.com

Cell no*

Please enter a valid phone number.

Date of Birth DD MM YY*

Date

RSA Id No

Proof will be required if short listed

Passport Number if non South African

Proof will be required if short listed

Race*

Gender*

Do you have a disability*

Are you a South African citizen*

If no what is your nationality

Do you have a valid work permit

Have you been convicted or found guilty of a criminal offence? *

Criminal offence information

Do you have any pending criminal case against you? (Yes/No): If yes, provide details:*

Criminal case information

Have you ever been dismissed for misconduct from the Public Service? (Yes/No):*

Have you resigned from a recent job pending any disciplinary proceeding? (Yes/No):*

Have you been discharged or retired from Public Service for ill-health? (Yes/No):*

Do you have any pending disciplinary case against you?*

Public Sector Years

Private Sector Years

If your profession requires registration provide date and particulars

Profession Reg No

If you are offered the position when can you start or how much notice must you serve with your current employer*

C. CONTACT DETAILS AND MEDIUM OF COMMUNICATION

Preferred language for correspondence*

Method of correspondence*

D. LANGUAGE PROFICIENCY

Language Proficiency*

Rows	Language	Speak	Write
1
2
3

E. FORMAL QUALIFICATION

Formal Qualification*

Rows	School / College	Year	Qualification
1
2
3

Proof of qualification to be provided if shortlisted

Current study institution and qualification if any

F: Work Experience

Work Experience*

Rows	Employer	Post Held	From	To	Reason for leaving
1
2
3
4

Please provide a brief note on previous experience. (CV)*

Please provide brief motivation*

Previously employed in Public Service?*

Public service department

G. References

References

Rows	Name	Relationship	Tel: ( Office hrs )
1
2
3

Load your CV

Load your RSA ID / Passport

Load your Education certificates (Max 3 Files)

Load your certificates of education

By submitting this form you acknowldge that you have completed the form honestly to the best of your ability.

Date signed*

Date

Signature*