For Office use only
Applicant No.

CONFIDENTIAL

APPLICATION FORM

All fields marked with * are required to fill

Position applied for *
How did you hear about this vacancy?
Full or part-time employment *
PERSONAL DETAILS
Full Name *
First name(s)

Last name(s)
Date of Birth *
Place *
Contact telephone numbers *
E-mail Address *
Do you have relatives who are currently employed at WIUT? * Yes

No
EMPLOYMENT
Job employment history for the last 10 years
Date (from mm.yy to mm.yy Full or Part Time) Name of Employer (Institution) Post Title or Position in Organisation Summary of main duties Name and contacts (phone number and email) of Supervisor Actions
Please tick if you do not mind your supervisors to be contacted by HR Department as part of the reference check

EDUCATION AND QUALIFICATIONS
Date (from mm.yy to mm.yy Full or Part Time) Name of Institution, place and country Qualifications - state title of award and subject area Actions


Practical Training
Date (from mm.yy to mm.yy) Name of Organisation Qualification / Certification Actions


What is your motivation to join us?
What is your vision for the position?
How would you describe your role in this position?

References – Please give names and contact details of two people we can contact for references

# Full Name Institution/position Contact telephone numbers E-mail Address
1
2
I declare that the information provided on this application form is true and correct to the best of my knowledge.

Date: 11/23/2024 10:45:17 AM





Candidates selected for interview will be contacted within 15 days of the closing date.

If you do not hear from us within this time then you should assume that your application has not been successful on this occasion.

We would like to thank you for the interest you have shown in pursuing a career with Westminster International University.