WORKFORCE DEVELOPMENT AUTHORITY – WDA
Empowering people with employable skills and entrepreneurship capacity
P. O. BOX 2707 Kigali/Rwanda
Tel: (+250) 255113365
E-mail: examinations@wda.gov.rw
Website: www.wda.gov.rw
TVET NATIONAL PRACTICAL EXAMINATIONS , ACADEMIC YEAR 2016
APPLICATION FORM FOR ASSESSOR
I. IDENTIFICATION OF THE APPLICANT:
1.1. Names: …….....………………………..………………..…………………………………….………...…………………………………
1.2. Telephone Number: ………………….……………………….……
Email: ……….....…...……..…………………………
1.3. ID/Passport Number: …………..…...…………………………………………...
RSSB Number (Social Security Found/C.S.R): …...……
1.4. Medical insurance scheme: …..…….……...…………………………………….
Medical insurance Card Number: …..…………………
1.5. Qualification and area of qualification
(Click to fill in the required information where provided)
Area of qualification
Qualification
A2
A1
A0
Above (specify)
1.6. Teaching School Identity:
(Click to fill in the required information where provided)
School Name: ………………..…………………………………………………………………………..
District /location of the school: ………………………………………
Province: ………………………..
II. ASSESSMENT BACKGROUND (If you have never assessed, skip and go directly to part III)
Trade assessed and assessment Centre
Academic year
Yes
No
Practical examinations
centre
Trade assessed
2011
2012
2013
2014
2015
III. TEACHING EXPERIENCE
(Click to fill in the required information where provided)
Years taught
Option/Trade
(Code)
S/No Subjects taught
Class level (S4S6)
From
To
3.1
3.2
3.3
3.4
3.5
IV APPLICATION FOR ASSESSMENT
(Click to fill in the required information where provided)
4.1. Assessment trade/option: ……………………………………………………………..
4.2. Assessment subjects applied for:
Have you assessed these subjects?
Yes
No
Yes
No
4.2.1
4.2.2
4.2.3
V. DOCUMENTS TO BE ATTACHED
5.1. Attach copy of certificate/degree specified in 1.5
5.2. Attach relevant teaching timetable
5.3. Attach photocopy of ID/Passport
5.5. Attach Recommendation letter by School Manager
5.4. Attach photocopy of medical insurance card
Applicant:
Names and Signature ……………………………………………………
Date ……………………………………………………………………
( Click Submit)